Individual
DR. C SPENCER AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7 EL PASO CT, EAST NORTHPORT, NY 11731
(631) 499-1100
Mailing address
7 EL PASO COURT, EAST NORTHPORT, NY 11731
(631) 499-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046314
NY
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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