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Justin Im
Pediatric Dentist in Apple Valley, California
NPI 1316520364

Justin Im is a Pediatric Dentist based in Bronx, CA and is specialized in Pediatric Dentistry. Justin Im practices in Apple Valley, CA. The NPI Number for Justin Im is 1316520364 and holds a License No. 106857 (California).

The current practice location address for Justin Im is 18564 Us Highway 18 Ste 301, Apple Valley, CA and can be reached out via phone at 079-076-0490.

Location: 18564 Us Highway 18 Ste 301, Apple Valley, CA, 10457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316520364
Provider Name
Justin Im
Credential
Provider Entity Type
Individual
Gender
Male
Address
18564 Us Highway 18 Ste 301, Apple Valley, CA, 10457
Phone Number
079-076-0490
Fax Number
Provider Enumeration Date
04/28/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
18564 Us Highway 18 Ste 301
City
Apple Valley
State
California
Zip
92307-2340
Phone Number
079-076-0490
Fax Number
person
Provider Business Mailing Address Details
Address
18564 Us Highway 18 Ste 301
City
Apple Valley
State
California
Zip
92307-2340
Phone Number
079-076-0490
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
106857 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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