DR. Heidi Chan
NPI #1255882403 in Northridge, California
Provider Information
- NPI Number
- 1255882403
- Entity Type
- Individual
- Name
- DR. Heidi Chan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 21, 2016
- Last Updated
- Oct 21, 2016
Practice Location
- Address
- 9241 RESEDA BLVD STE 104
- City
- Northridge
- State
- California
- ZIP Code
- 91324-3191
- Phone
- (818) 709-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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