Individual provider · Type 1 NPI

Ellen Wonsun Im, DDS

Pediatric Dentistry · Poway, CA

NPI number 1023029220 Active

Practice location

13422 Pomerado Rd Ste 201
Poway, CA 92064-3548

Call (410) 644-4100 Map

Mailing address

13422 Pomerado Rd, Suite 201
Poway, CA 92064

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X63073 (CA)

Pediatric Dentistry: 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.

4 other providers at this address

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About NPI 1023029220

Ellen Wonsun Im, DDS's National Provider Identifier is 1023029220, issued on Aug 11, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Poway, CA. The record was last updated on May 10, 2021.