Individual provider · Type 1 NPI

Ted Tae Yul Im, DDS

Dentist · Moreno Valley, CA

NPI number 1114083193 Active

Practice location

23205 Sunnymead Blvd
Moreno Valley, CA 92553-5246

Call (951) 242-6242 Map

Fax (951) 242-4782

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X40950 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114083193

Ted Tae Yul Im, DDS's National Provider Identifier is 1114083193, issued on Dec 28, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 19, 2016.