| Organization Name: | JAMES D. AHN, DDS, INC. |
| NPI Number: | 1144430455 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES D AHN (CEO) |
| Mailing Address: | 315 E Gladstone St Azusa |
| State: | CA US |
| Postal Code: | 917024928 |
| Phone Number: | 6269696728 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 46234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |