Individual
DR. HEENA J CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9813 VENICE BLVD, LOS ANGELES, CA 90034-5110
(323) 371-7918
Mailing address
9813 VENICE BLVD, LOS ANGELES, CA 90034-5110
(323) 371-7918
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58092
CA
Other
Enumeration date
05/22/2010
Last updated
03/19/2014
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