Ellen Im DDS INC
NPI #1861091720 in Poway, California
Provider Information
- NPI Number
- 1861091720
- Entity Type
- Organization
- Organization Name
- Ellen Im DDS INC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 21, 2020
- Last Updated
- May 6, 2021
Practice Location
- Address
- 13422 POMERADO RD STE 201
- City
- Poway
- State
- California
- ZIP Code
- 92064-3548
- Phone
- (858) 679-6660
Authorized Official
- Name
- DR. ELLEN IM, DDS
- Title
- OWNER/OPERATOR
- Phone
- (858) 679-6660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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