Organization
ELYSA R KAHAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY EDWARD KAHAN M.D. (OFFICER)
(310) 728-9581
Entity
Organization
Contact information
Practice address
18372 CLARK ST STE 201, TARZANA, CA 91356-3550
(818) 996-5100
Mailing address
18372 CLARK ST STE 201, TARZANA, CA 91356-3550
(818) 996-5100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63683
CA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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