Individual provider · NPI-1

Dr. Se Eun Ahn, DDS

Dentist, General Practice · Norfolk, VA

NPI number1861003576
StatusActive
Last updated in NPPESAug 14, 2020

Details

NPI
1861003576
Entity type
Individual (NPI-1)
Name
Dr. Se Eun Ahn
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2020
Certification date
Aug 14, 2020
Last updated
Aug 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice105263CAYes

Other names

  • Adel Ahn (Other Name)

Practice location

1647 Admiral Taussig Blvd Ste 241
Norfolk, VA 23511-2803

Phone 757-953-8635

Mailing address

1607 Harmon St Apt 101
Norfolk, VA 23518-4112

Phone 510-926-1181

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