Provider Demographics
NPI:1942373626
Name:LIM, TOH-ENG (DDS)
Entity Type:Individual
Prefix:DR
First Name:TOH-ENG
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 SLATER RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-4043
Mailing Address - Country:US
Mailing Address - Phone:651-808-5252
Mailing Address - Fax:651-808-5253
Practice Address - Street 1:4640 SLATER RD
Practice Address - Street 2:SUITE 150
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-4043
Practice Address - Country:US
Practice Address - Phone:651-808-5252
Practice Address - Fax:651-808-5253
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND90741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice