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Individual

JI HYUN AN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23844 S POWER RD STE B-106, QUEEN CREEK, AZ 85142-6152
(602) 661-6983
Mailing address
1666 S DOBSON RD APT 4062, MESA, AZ 85202-1614
(303) 748-8796

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011684
AZ

Other

Enumeration date
04/29/2022
Last updated
01/11/2025
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