person
Chanook Ahn, DMD
Periodontist in Los Angeles, California
NPI 1699113050

Chanook Ahn is a Periodontist based in Downey, CA and is specialized in Periodontics. Chanook Ahn practices in Los Angeles, CA and has the professional credentials of DMD. The NPI Number for Chanook Ahn is 1699113050 and holds a License No. (California).

The current practice location address for Chanook Ahn is 1127 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-481-0664.

Location: 1127 Wilshire Blvd, Los Angeles, CA, 90240-2563
person
Provider Profile Details
NPI Number
1699113050
Provider Name
Chanook Ahn
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1127 Wilshire Blvd, Los Angeles, CA, 90240-2563
Phone Number
213-481-0664
Fax Number
Provider Enumeration Date
06/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101227 01 CA DENTAL BOARD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
1127 Wilshire Blvd
City
State
Zip
90017-3901
Phone Number
213-481-0664
Fax Number
person
Provider Business Mailing Address Details
Address
1127 Wilshire Blvd
City
State
Zip
90017-3901
Phone Number
213-481-0664
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
101227 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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