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Individual

JOHN AHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
6004 MARATHON PKWY, DOUGLASTON, NY 11362-2000
(718) 225-4433
Mailing address
6004 MARATHON PKWY, DOUGLASTON, NY 11362-2000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049851
NY

Other

Enumeration date
08/10/2011
Last updated
08/10/2011
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