Individual
DR. PATRICK H IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9560 LEGACY OAKS DR, OOLTEWAH, TN 37363-4869
(706) 264-9441
Mailing address
15230 LAKESHORE DR, CLEARLAKE, CA 95422-8107
(707) 995-4540
(707) 994-2401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
42663
CA
122300000X
Dentist
Primary
9219
TN
122300000X
Dentist
DN011603
GA
Other
Enumeration date
06/26/2008
Last updated
09/20/2019
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