Provider Demographics
NPI:1942051610
Name:KAHN, LIANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIANA
Middle Name:
Last Name:KAHN
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 1:3601 N 41ST CT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1944
Mailing Address - Country:US
Mailing Address - Phone:347-576-0905
Mailing Address - Fax:
Practice Address - Street 1:3601 N 41ST CT
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1944
Practice Address - Country:US
Practice Address - Phone:347-576-0905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28434122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist