Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN IM
ActiveJUSTIN IM is a Pediatric Dentistry healthcare provider located in APPLE VALLEY, California. NPI 1316520364 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · APPLE VALLEY, CA
Registration Details
- NPI Number
- 1316520364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2021 (5.329903980502 yrs)
- Last Updated
- Apr 4, 2024
- License
-
106857 (CA)
Practice Information
- Address
-
18564 US HIGHWAY 18 STE 301APPLE VALLEY, CA, 923072340Browse CA providers · Browse ZIP 92307
- Phone
- 0790760490
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.