Individual
DR. JUNG AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
266 E 167TH ST, BRONX, NY 10456-4017
(718) 293-4100
Mailing address
171 E 89TH ST, #4C, NEW YORK, NY 10128-2381
(615) 275-7299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057394
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2013
Last updated
09/09/2014
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