DR. Ellen Wonsun Im, DDS
NPI #1023029220 in Poway, California
Provider Information
- NPI Number
- 1023029220
- Entity Type
- Individual
- Name
- DR. Ellen Wonsun Im, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Aug 11, 2006
- Last Updated
- May 10, 2021
Practice Location
- Address
- 13422 POMERADO RD STE 201
- City
- Poway
- State
- California
- ZIP Code
- 92064-3548
- Phone
- (410) 644-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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