Individual
ALICE MIYAE AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
687 S VERMONT AVE, LOS ANGELES, CA 90005-1349
(213) 381-7770
Mailing address
723 N GRAMERCY PL APT 21, LOS ANGELES, CA 90038-4177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100616
CA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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