Individual provider · Type 1 NPI
Heena J. Chandra
Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA
NPI number
1700105384
Active
Practice location
9813 Venice Blvd
Los Angeles, CA 90034-5110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 58092 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1700105384
Heena J. Chandra's National Provider Identifier is 1700105384, issued on May 22, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 19, 2014.