Provider Demographics
NPI:1982849360
Name:KAHN, STELLA (DDS)
Entity Type:Individual
Prefix:DR
First Name:STELLA
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 1:24769 CALLE ALTAMIRA
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3005
Mailing Address - Country:US
Mailing Address - Phone:818-621-0442
Mailing Address - Fax:
Practice Address - Street 1:24769 CALLE ALTAMIRA
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3005
Practice Address - Country:US
Practice Address - Phone:818-621-0442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53606122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist