Most Relevant Information
Provider Data
| NPI Number: | 1003645904 |
| Provider Name: | JUSTINA JEAN AHN |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 14035483-9926 |
Most Important Dates
| Enumeration Date: | 07/29/2024 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
1650 COCHRANE CIR BLDG 7505
FT CARSON
CO
809134613
Practice Location Phone/Fax
| Phone: | 7195265231 |
| Fax: |
Provider Mailing Location
50 ASBURY
IRVINE
CA
926021615
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |