Individual
BALTASAR JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5917 BENEVA RD, SARASOTA, FL 34238-2504
(941) 924-2939
(941) 924-2026
Mailing address
5917 BENEVA RD, SARASOTA, FL 34238-2504
(941) 924-2939
(941) 924-2026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10922
FL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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