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General NPI Number Information
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NPI Number | 1942118492
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Entity Type | Organization
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Legal Business Name | CHANOOK D AHN DMD INC.
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1007 W LA PALMA AVE STE 5
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City | ANAHEIM
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State | CA
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Zip | 92801-3620
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Country | US
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Telephone | 714-776-7132
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 W LA PALMA AVE STE 5
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City | ANAHEIM
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State | CA
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Zip | 92801-3620
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Country | US
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Telephone | 714-776-7132
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANOOK AHN
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Credential | DMD
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Telephone | 608-354-7113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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