Individual
GRACE AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
(872) 588-3021
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
(872) 588-3001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55749
CA
Other
Enumeration date
07/17/2007
Last updated
11/26/2012
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