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Organization
EDWARD B. AHN DDS, PC
Active
Organization
EDWARD B. AHN DDS, PC
Active
Other names
Ahn Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD B. AHN DDS (PRESIDENT)
(928) 855-3000
Entity
Organization
Contact information
Practice address
1680 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-0962
(928) 855-3000
(928) 855-3001
Mailing address
1680 MCCULLOCH BLVD N, LAKE HAVASU CITY, AZ 86403-0962
(928) 855-3000
(928) 855-3001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6409
AZ
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
11/28/2007
Last updated
12/13/2012
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