Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MARC GIDAN, DDS
Active Sole ProprietorDR. JONATHAN MARC GIDAN, DDS is a Pediatric Dentistry healthcare provider located in NORTH HOLLYWOOD, California. NPI 1164639803 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · NORTH HOLLYWOOD, CA
Registration Details
- NPI Number
- 1164639803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2007 (19.255356930221 yrs)
- Last Updated
- Jul 8, 2007
- License
-
29280 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12840 RIVERSIDE DR#504NORTH HOLLYWOOD, CA, 916073327Browse CA providers · Browse ZIP 91607
- Phone
- 8185062424
- Fax
- 8185636789
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in NORTH HOLLYWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SHABNAM TOOPCHI | D.D.S. | 1942651690 |
| JUNIL KIM | DMD | 1124471941 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.