Doctor Name: | DR. SOO HYUN LIM |
NPI Number: | 1477766756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.D |
License Number: | 60072 |
Business Practice Address: | 4631 Hillard Ave La Canada, CA - 910112004 |
Business Phone Number: | 9175821707 |
Business Fax Number: | |
Mailing Address: | 4631 Hillard Ave, LA CANADA |
State: | CA |
Postal Code: | 910112004 |
Phone Number: | 9175821707 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 60072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |