Provider Demographics
NPI:1033804083
Name:LIM, YOOJIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOOJIN
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8688 E RAINTREE DR APT 1074
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-0014
Mailing Address - Country:US
Mailing Address - Phone:484-802-3490
Mailing Address - Fax:
Practice Address - Street 1:7450 E PINNACLE PEAK RD STE 250
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3609
Practice Address - Country:US
Practice Address - Phone:480-538-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0116781223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics