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Organization
SUNG M. AHN, D.D.S., INC.
Active
Organization
SUNG M. AHN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG MIN AHN D.D.S. (CEO)
(760) 244-4844
Entity
Organization
Contact information
Practice address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
(760) 244-5002
Mailing address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
52706
CA
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52706CA
DELTA DENTAL OF CALIFORNI
CA
05
—
G93705-01
—
CA
Enumeration date
06/29/2007
Last updated
07/06/2021
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