Organization
SUNG M. AHN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG MIN AHN D.D.S. (CEO)
(760) 244-4844
Entity
Organization
Contact information
Practice address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
(760) 244-5002
Mailing address
16922 MAIN ST STE F, HESPERIA, CA 92345-6011
(760) 244-4844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
52706
CA
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52706CA
DELTA DENTAL OF CALIFORNI
CA
05
—
G93705-01
—
CA
Enumeration date
06/29/2007
Last updated
07/06/2021
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