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Organization
AHNCORE MANAGEMENT INC. DBA BREATHE WELL
Active
Organization
AHNCORE MANAGEMENT INC. DBA BREATHE WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE AHN WALLACE DDS (PRESIDENT)
(714) 230-2434
Entity
Organization
Contact information
Practice address
7801 CENTER AVE STE 101, HUNTINGTON BEACH, CA 92647-9112
(714) 230-2434
Mailing address
7801 CENTER AVE STE 101, HUNTINGTON BEACH, CA 92647-9112
(714) 230-2434
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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