HEIDI COGGAN

LA JOLLA, CA
NPI1801220447
Former NameHEIDI FLEISCHAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: CA  476)
Enumeration Date2013-08-30
Last Update Date2013-08-30
Business Address
HEIDI COGGAN RDHAP
7509 DRAPER AVE #302
LA JOLLA, CA 92037-4862
Phone number: 858-754-8557
Mailing Address
HEIDI COGGAN RDHAP
7509 DRAPER AVE #302
LA JOLLA, CA 92037-4862
Phone number: 702-580-8885