Organization
AHNCORE MANAGEMENT INC. DBA BREATHE WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE AHN WALLACE DDS (PRESIDENT)
(714) 230-2434
Entity
Organization
Contact information
Practice address
7801 CENTER AVE STE 101, HUNTINGTON BEACH, CA 92647-9112
(714) 230-2434
Mailing address
7801 CENTER AVE STE 101, HUNTINGTON BEACH, CA 92647-9112
(714) 230-2434
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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