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DR. SUNG MIN AHN D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1326067489

Individual Registrant:
DR. SUNG MIN  AHN D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
16922 MAIN ST STE F  HESPERIA, CA 92345-6011 US
Tel: 760-244-4844  Fax: 760-244-5002

Contact information for business:
16922 MAIN ST STE F  HESPERIA, CA 92345-6011 US
Tel: 760-244-4844  Fax: --

Registration Information:
NPI: 1326067489
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
Dentist
General Practice
CA52706
Y1223S0112XDental Providers
Dentist
CA52706

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DELTA DENTAL OF CALIFORNI52706CACA01
G93705-01CA05




HEALTH CARE JOBS CA - Page 1



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