DR. Jonathan Marc Gidan, DDS is a pediatric dentistry dentist in North Hollywood, CA. The provider is 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. DR. Jonathan Marc Gidan, DDS NPI is 1164639803. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12840 RIVERSIDE DR
#504
NORTH HOLLYWOOD, CA
ZIP 91607-327
Phone: (818) 506-2424
Fax: (818) 563-6789
The NPI 1164639803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.