DR. TED IM, DDS
Dentist
Active
Individual
NPI: 1114083193
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 40950 (CA) |
Frequently Asked Questions
NPI 1114083193 is the National Provider Identifier for DR. TED IM, DDS, a Dentist provider located in Moreno Valley, CA. This NPI was enumerated on December 28, 2006.
DR. TED IM, DDS practices at 23205 SUNNYMEAD BLVD, Moreno Valley, CA 92553.
Quick Facts
- NPI
- 1114083193
- Type
- Individual
- Enumerated
- Dec 28, 2006
- Last Updated
- Sep 19, 2016
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