Individual
HYOEUN AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 ELM ST, NEW HAVEN, CT 06511-4549
(475) 800-0082
Mailing address
375 E MAIN ST UNIT 52C, BRANFORD, CT 06405-2966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14140
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2023
Last updated
07/04/2024
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