| Elysa R Kahan Dmd Pc | |
|
18372 Clark St Ste 201 Tarzana CA 91356-3550 | |
| (818) 996-5100 | |
| Not Available |
| Full Name | Elysa R Kahan Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18372 Clark St Ste 201, Tarzana, California |
| Authorized Official Name and Position | Stanley Edward Kahan (OFFICER) |
| Authorized Official Contact | 3107289581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysa R Kahan Dmd Pc 18372 Clark St Ste 201 Tarzana CA 91356-3550 Ph: (818) 996-5100 | Elysa R Kahan Dmd Pc 18372 Clark St Ste 201 Tarzana CA 91356-3550 Ph: (818) 996-5100 |
| NPI Number | 1376947200 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376947200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 63683 (California) | Primary |
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