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Ted Im, DDS
NPI 1114083193 · on the registry since 2006
Practice
- Address
- 23205 Sunnymead Blvd
Moreno Valley, CA 92553 - Phone
- (951) 242-6242
- Fax
- (951) 242-4782
- Organisation at this address
- Ted T. Im, Dds, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-19
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