Provider Demographics
NPI:1780858548
Name:KENT, KAREN ZAK (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ZAK
Last Name:KENT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 REYES ADOBE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2083
Mailing Address - Country:US
Mailing Address - Phone:818-991-5004
Mailing Address - Fax:818-597-0671
Practice Address - Street 1:5353 REYES ADOBE RD
Practice Address - Street 2:SUITE A
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2083
Practice Address - Country:US
Practice Address - Phone:818-991-5004
Practice Address - Fax:818-597-0671
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41434122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist