institution
Ted T. Im, Dds, Inc.
General Practice Dentistry in Moreno Valley, California
NPI 1770821423

Ted T. Im, Dds, Inc. is a General Practice Dentistry based in Moreno Valley, CA and is specialized in General Practice. Ted T. Im, Dds, Inc. practices in Moreno Valley, CA. The NPI Number for Ted T. Im, Dds, Inc. is 1770821423 and holds a License No. 40950 (California).

The current practice location address for Ted T. Im, Dds, Inc. is 23205 Sunnymead Blvd, Moreno Valley, CA and can be reached out via phone at 951-242-6242 and via fax at 951-242-4782. You can also correspond with Ted T. Im, Dds, Inc. through the mailing address at 23205 SUNNYMEAD BLVD, MORENO VALLEY, CA - 92553-5246 (mailing address contact number: 951-242-6242).

Location: 23205 Sunnymead Blvd, Moreno Valley, CA, 92553-5246
institution
Provider Profile Details
NPI Number
1770821423
Provider Name
Ted T. Im, Dds, Inc.
Credential
Provider Entity Type
Organization
Address
23205 Sunnymead Blvd, Moreno Valley, CA, 92553-5246
Phone Number
951-242-6242
Fax Number
951-242-4782
Provider Enumeration Date
01/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D40950 05 CA
institution
Provider Business Practice Location Address Details
Address
23205 Sunnymead Blvd
City
State
Zip
92553-5246
Phone Number
951-242-6242
Fax Number
951-242-4782
person
Provider Business Mailing Address Details
Address
23205 Sunnymead Blvd
City
State
Zip
92553-5246
Phone Number
951-242-6242
Fax Number
951-242-4782
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
40950 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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