DR. Gary Michael Heidner, DDS
NPI #1295999068 in Garden Grove, California
Provider Information
- NPI Number
- 1295999068
- Entity Type
- Individual
- Name
- DR. Gary Michael Heidner, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 10, 2008
- Last Updated
- Dec 27, 2012
Practice Location
- Address
- 12752 GARDEN GROVE BLVD
- Address 2
- #200
- City
- Garden Grove
- State
- California
- ZIP Code
- 92843-1923
- Phone
- (714) 636-2595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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