Heidi F. Widoff R.D.H., COM

NPI 1376765552 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1376765552
Gender Female
Enumeration Date 05/03/2007
Last Updated 11/11/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
5236 COLODNY DR
SUITE 104
AGOURA HILLS CA, 91301-2624, US
Phone (818) 307-8518
Fax (818) 851-9383
Business Location
5236 COLODNY DR
SUITE 104
AGOURA HILLS CA, 91301-2624, US
Phone (818) 307-8518
Fax (818) 851-9383
Toxanomy
Taxonomy Code 124Q00000X
License State California
License Number 21147
Remove 1376765552 NPI Number
 

According to our database, Ms. Heidi F. Widoff R.D.H., COM NPI is 1376765552, taxonomy code is 124Q00000X and license number is 21147, license state is located at California. Heidi F. Widoff R.D.H., COM physically located at 5236 Colodny Dr, Agoura Hills CA, 91301-2624. NPI Number Heidi F. Widoff R.D.H., COM has the Individual type.

Sponsored links

1376765552 NPI number is provided on an as is basis without warranty of any kind. 1376765552 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi F. Widoff R.D.H., COM are for informational purposes only.