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
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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