Individual
HEIDI COGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
7509 DRAPER AVE, #302, LA JOLLA, CA 92037-4862
(858) 754-8557
(858) 750-2045
Mailing address
7509 DRAPER AVE, #302, LA JOLLA, CA 92037-4862
(702) 580-8885
(858) 750-2045
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
476
CA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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