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Individual

DR. SUNG MIN AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
(760) 244-5002
Mailing address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
52706
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52706
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52706CA
DELTA DENTAL OF CALIFORNI
CA
05
G93705-01
CA
Enumeration date
07/19/2006
Last updated
07/06/2021
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