| Sung Ahn DDS, Inc. | |
|
1490 E Foothill Blvd Ste B Upland CA 91786-4072 | |
| (909) 256-4457 | |
| Not Available |
| Full Name | Sung Ahn DDS, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1490 E Foothill Blvd Ste B, Upland, California |
| Authorized Official Name and Position | Sung Min Ahn (CEO) |
| Authorized Official Contact | 9092564457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sung Ahn DDS, Inc. 1490 E Foothill Blvd Ste B Upland CA 91786-4072 Ph: (909) 256-4457 | Sung Ahn DDS, Inc. 1490 E Foothill Blvd Ste B Upland CA 91786-4072 Ph: (909) 256-4457 |
| NPI Number | 1649817404 |
|---|---|
| Provider Enumeration Date | 11/28/2019 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649817404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
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