| Ahn Family Dentistry | |
|
1680 Mcculloch Blvd N Lake Havasu City AZ 86403-0962 | |
| (928) 855-3000 | |
| (928) 855-3001 |
| Full Name | Ahn Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1680 Mcculloch Blvd N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Edward B. Ahn (PRESIDENT) |
| Authorized Official Contact | 9288553000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahn Family Dentistry 1680 Mcculloch Blvd N Lake Havasu City AZ 86403-0962 Ph: (928) 855-3000 | Ahn Family Dentistry 1680 Mcculloch Blvd N Lake Havasu City AZ 86403-0962 Ph: (928) 855-3000 |
| NPI Number | 1679755060 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679755060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | D6409 (Arizona) | Primary |
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