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Individual
CHANOOK AHN
Active
Individual
CHANOOK AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
101227
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101227
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
06/07/2013
Last updated
08/27/2026
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