Im, Ellen Wonsun
Im, Ellen Wonsun is an sole proprietor health care provider with primary practice located at 13422 Pomerado Rd Ste 201 , Poway CA 92064-3548. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Im, Ellen Wonsun can be contacted via phone (410) 644-4100.Contact Information
Primary practice address
13422 Pomerado Rd Ste 201
Poway CA 92064-3548
Phone: (410) 644-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 63073 | California |
Profile Details
| NPI number | 1023029220 |
|---|---|
| LBN Legal business name | Im, Ellen Wonsun |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | May 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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