DR. Ted Tae Yul Im, DDS
NPI #1114083193 in Moreno Valley, California
Provider Information
- NPI Number
- 1114083193
- Entity Type
- Individual
- Name
- DR. Ted Tae Yul Im, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Sep 19, 2016
Practice Location
- Address
- 23205 SUNNYMEAD BLVD
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-5246
- Phone
- (951) 242-6242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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