| Peter N Jimenez Dds A Professional Dental Corporation | |
|
31646 Dunlap Blvd Unit C Yucaipa CA 92399-1689 | |
| (909) 794-4909 | |
| (909) 794-4904 |
| Full Name | Peter N Jimenez Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 31646 Dunlap Blvd Unit C, Yucaipa, California |
| Authorized Official Name and Position | Peter N. Jimenez (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9097944909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter N Jimenez Dds A Professional Dental Corporation 31646 Dunlap Blvd Unit C Yucaipa CA 92399-1689 Ph: (909) 794-4909 | Peter N Jimenez Dds A Professional Dental Corporation 31646 Dunlap Blvd Unit C Yucaipa CA 92399-1689 Ph: (909) 794-4909 |
| NPI Number | 1598232308 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 10/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598232308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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