Provider Demographics
NPI:1841340460
Name:LIM, JOSEPH JOON (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOON
Last Name:LIM
Suffix:
Gender:M
Credentials:DDS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17401 BASTANCHURY RD
Mailing Address - Street 2:#103
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1320
Mailing Address - Country:US
Mailing Address - Phone:714-524-3368
Mailing Address - Fax:714-524-3370
Practice Address - Street 1:17401 BASTANCHURY RD
Practice Address - Street 2:#103
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-1320
Practice Address - Country:US
Practice Address - Phone:714-524-3368
Practice Address - Fax:714-524-3370
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA461011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice