Individual
DR. NICHOLAS AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2070 VIRGINIA AVE, NORTH BEND, OR 97459-2351
(541) 756-7568
Mailing address
1550 E CAMPBELL AVE APT 3028, PHOENIX, AZ 85014-4271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D010848
AZ
1223G0001X
General Practice Dentistry
Primary
D11651
OR
Other
Enumeration date
08/24/2020
Last updated
11/08/2023
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