Wallace, Katherine Ahn

Wallace, Katherine Ahn is an individual health care provider with primary practice located at 11121 Los Alamitos Blvd Ste 201 , Los Alamitos CA 90720-3603. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Wallace, Katherine Ahn can be contacted via phone (714) 230-2434.

Contact Information

Primary practice address
11121 Los Alamitos Blvd Ste 201 Los Alamitos CA 90720-3603
Phone: (714) 230-2434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 41055 California
Dental Providers / Pediatric Dentistry 1223P0221X 41055 California
Dental Providers / General Practice 1223G0001X 41055 California

Profile Details

NPI number 1790843381
LBN Legal business name Wallace, Katherine Ahn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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