Individual
JINNA YUN JI IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
742 E GLENDALE AVE STE 118, PHOENIX, AZ 85020-5352
(602) 491-0887
Mailing address
2150 W ALAMEDA RD UNIT 1169, PHOENIX, AZ 85085-1951
(808) 383-0209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011408
AZ
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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