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General NPI Number Information
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NPI Number | 1013860659
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Entity Type | Organization
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Legal Business Name | DEBRA & ROBIN IM DDS, INC.
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 3523 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-1540
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Country | US
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Telephone | 714-334-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 321 LUCIA LN
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City | BREA
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State | CA
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Zip | 92821-6110
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Country | US
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Telephone | 714-334-4866
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROBIN IM
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Credential | DDS
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Telephone | 714-334-4866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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