Individual
TAEJOON AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 MOODY ST, WALTHAM, MA 02453
(781) 647-8000
(781) 647-8111
Mailing address
225 MOODY ST, WALTHAM, MA 02453
(781) 647-8000
(781) 647-8111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19072
MA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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