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Individual

DR. YONG SOO AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1390 S ARCH AVE, ALLIANCE, OH 44601-4111
(330) 821-3961
(330) 821-0232
Mailing address
2042 E 115TH ST, CLEVELAND, OH 44106-2330
(201) 406-2777

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055349
NY
1223P0221X
Pediatric Dentistry
Primary
30-024035
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087022
OH
Enumeration date
08/10/2007
Last updated
04/08/2014
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