| Dr. Ellen Im Pediatric Dentistry and Orthodontics | |
|
13422 Pomerado Rd Ste 201 Poway CA 92064-3548 | |
| (858) 679-6660 | |
| Not Available |
| Full Name | Dr. Ellen Im Pediatric Dentistry and Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13422 Pomerado Rd Ste 201, Poway, California |
| Authorized Official Name and Position | Ellen Im (OWNER/OPERATOR) |
| Authorized Official Contact | 8586796660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ellen Im Pediatric Dentistry and Orthodontics 13422 Pomerado Rd Ste 201 Poway CA 92064-3548 | Dr. Ellen Im Pediatric Dentistry and Orthodontics 13422 Pomerado Rd Ste 201 Poway CA 92064-3548 Ph: (858) 679-6660 |
| NPI Number | 1861091720 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861091720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Secondary |
Lana Gorin DMD Pomerado Dental Arts, Inc. Dental Office of Dr. Gorin Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15725 Pomerado Rd Ste 202, Poway, CA 92064 Phone: 858-485-7788 Fax: 858-485-7782 |
Robert C. Kim, DDS, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15835 Pomerado Rd Ste 202, Poway, CA 92064 Phone: 858-485-8012 Fax: 858-485-5615 |
Manveen Boparai DDS Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13441 Community Rd, Poway, CA 92064 Phone: 858-750-8415 |
Poway Elite Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd Ste C9, Poway, CA 92064 Phone: 858-275-6507 |
Wright and Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13035 Pomerado Rd Ste D, Poway, CA 92064 Phone: 858-486-1412 |
Twin Peaks Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14761 Pomerado Rd, Poway, CA 92064 Phone: 858-748-5815 Fax: 858-748-6130 |