Provider Demographics
NPI:1629686175
Name:PAUL S. KAHLON, PLLC
Entity Type:Organization
Organization Name:PAUL S. KAHLON, PLLC
Other - Org Name:STELLAR FAMILY ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAHON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-341-7827
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-0203
Mailing Address - Country:US
Mailing Address - Phone:425-341-7827
Mailing Address - Fax:360-658-8933
Practice Address - Street 1:13209 44TH AVE SE STE 102
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-8985
Practice Address - Country:US
Practice Address - Phone:425-341-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty