Organization
AHN DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE AHN WALLACE DDS (PRESIDENT)
(714) 230-2434
Entity
Organization
Contact information
Practice address
11121 LOS ALAMITOS BLVD, LOS ALAMITOS, CA 90720-3603
(714) 230-2437
Mailing address
11121 LOS ALAMITOS BLVD, LOS ALAMITOS, CA 90720-3603
(714) 230-2437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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