Provider Demographics
NPI:1902032428
Name:LENT, JANET
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:LENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 CLOY AVE
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-4750
Mailing Address - Country:US
Mailing Address - Phone:310-827-1963
Mailing Address - Fax:
Practice Address - Street 1:925 W 34TH STREET SPECIAL PATIENTS CLINIC
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0001
Practice Address - Country:US
Practice Address - Phone:213-740-5094
Practice Address - Fax:213-740-8100
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27329122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist