JOHN R HEIDENRICH

SAN DIEGO, CA
NPI1801078464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  25148)
Enumeration Date2007-12-05
Last Update Date2007-12-05
Business Address
-- JOHN R HEIDENRICH DDS
480 ALTA RD
SAN DIEGO, CA 92179-0001
Phone number: 619-661-6500
Mailing Address
-- JOHN R HEIDENRICH DDS
480 ALTA RD
SAN DIEGO, CA 92179-0001
Phone number: 619-661-6500