Provider Demographics
NPI:1568972917
Name:KAHEN, AARON (DDS)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:KAHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9830 VIDOR DR APT 302
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1074
Mailing Address - Country:US
Mailing Address - Phone:310-686-2974
Mailing Address - Fax:
Practice Address - Street 1:15030 VENTURA BLVD STE 9
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2444
Practice Address - Country:US
Practice Address - Phone:818-849-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS101963122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist