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General NPI Number Information
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NPI Number | 1720846777
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Entity Type | Organization
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Legal Business Name | RAY AHN, DDS INC.
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 1497 S SAN JACINTO AVE STE B
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City | SAN JACINTO
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State | CA
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Zip | 92583-5114
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Country | US
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Telephone | 951-487-2644
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Fax |
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Provider Business Mailing Address
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Address Line | 1497 S SAN JACINTO AVE STE B
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City | SAN JACINTO
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State | CA
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Zip | 92583-5114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RAY AHN
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Credential | DDS
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Telephone | 909-362-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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