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Individual

BRYAN BOUNGJUN AHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1025 W AVENUE K STE 105, LANCASTER, CA 93534-6429
(661) 723-1111
Mailing address
15 SAGAMORE LN UNIT 309, ROCKY HILL, CT 06067-3850
(857) 769-8969

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111424
CA
1223G0001X
General Practice Dentistry
13221
CT

Other

Enumeration date
07/23/2021
Last updated
07/09/2025
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