Ellen Wonsun Im
ActiveCalifornia license 63073
License
- Licensed by
- Dental Board of California
- License number
- 63073
- Status
- Active (Current)
- First issued
- October 24, 2013
- Expires
- June 30, 2028
- License holder
- Ellen Wonsun Im
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
13422 Pomerado Rd
201
Poway, CA 92064-3548
201
Poway, CA 92064-3548
San Diego County