Individual provider · Type 1 NPI

Jonathan Marc Gidan, DDS

Pediatric Dentistry · North Hollywood, CA

NPI number 1164639803 Active

Practice location

12840 Riverside Dr, #504
North Hollywood, CA 91607-3327

Fax (818) 563-6789

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X29280 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1164639803

Jonathan Marc Gidan, DDS's National Provider Identifier is 1164639803, issued on May 16, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in North Hollywood, CA. The record was last updated on Jul 8, 2007.