Individual
DR. SAM AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
653 COLUMBIA RD, DORCHESTER, MA 02125-1712
(617) 825-9100
Mailing address
653 COLUMBIA RD, DORCHESTER, MA 02125-1712
(617) 825-9100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
03679680
CT
122300000X
Dentist
60915
KS
122300000X
Dentist
Primary
DN1857100
MA
Other
Enumeration date
04/25/2014
Last updated
12/29/2015
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