IndividualActive
Alan Licht, D.D.S.
NPI 1740456250 · Orthodontics and Dentofacial Orthopedics Dentistry · Tarzana, CA
Provider details
- NPI number
- 1740456250
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D21381 (CA)
Specialties & taxonomies
Dental Providers
Practice location
18372 Clark St Ste 201
Tarzana, CA 91356-3550
Phone: (818) 996-5100
Approximate (ZIP-level) locationGet directions
Mailing address
18372 Clark St Ste 201
Tarzana, CA 91356-3550
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2008-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.