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Justin Im
NPI 1316520364 · on the registry since 2021
Practice
- Address
- 18564 Us Highway 18 Ste 301
Apple Valley, CA 92307 - Phone
- (079) 076-0490
- Organisation at this address
- Kenneth Grier Md Inc
Ram K Kamath M D Inc.
Kaipu Healthcare, Inc.
Trident Medical Group Inc.
V. Craig Family Therapy Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- Third Ave. And 183rd Street, Bronx, NY
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-04
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