Individual
DR. CHANGWON AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8101 EUCLID AVENUE, CLEVELAND, OH 44103
(216) 229-7440
(216) 229-2501
Mailing address
8101 EUCLID AVENUE, CLEVELAND, OH 44103
(216) 229-7440
(216) 229-2501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2686919
—
OH
Enumeration date
12/21/2006
Last updated
12/01/2009
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