SearchCaliforniaPediatric Dentistry

Ellen Im, DDS

NPI 1023029220 · on the registry since 2006 · sole proprietor

Practice

Address
13422 Pomerado Rd Ste 201
Poway, CA 92064
Phone
(410) 644-4100
Organisation at this address
Alireza
Ellen Im Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California