Individual provider · Type 1 NPI
Justin Im
Pediatric Dentistry · Apple Valley, CA
NPI number
1316520364
Active
Practice location
18564 US Highway 18 Ste 301
Apple Valley, CA 92307-2340
Mailing address
Third Ave. And 183rd Street
Bronx, NY 10457
Other practice locations
- Third Ave. And 183rd Street, Bronx, NY 10457 · (718) 618-8961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 106857 (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.
About NPI 1316520364
Justin Im's National Provider Identifier is 1316520364, issued on Apr 28, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Apple Valley, CA. The record was last updated on Apr 4, 2024.