DR. Alan J. Licht, D.D.S.

NPI #1740456250 in Tarzana, California

Provider Information

NPI Number
1740456250
Entity Type
Individual
Name
DR. Alan J. Licht, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S.
Enumeration Date
May 5, 2008
Last Updated
May 5, 2008

Practice Location

Address
18372 CLARK ST STE 201
ZIP Code
91356-3550
Phone
(818) 996-5100

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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