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Organization
L.N. ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization
L.N. ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Other names
L.N. Oral and maxillofacial Surgery PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO J JIMENEZ DMD (PRESIDENT)
(813) 834-8473
Entity
Organization
Contact information
Practice address
11278 SULLIVAN ST, RIVERVIEW, FL 33578-2140
(813) 834-8473
Mailing address
11925 CLIMBING FERN AVE, RIVERVIEW, FL 33579-4092
(813) 834-8473
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
—
NULL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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