Individual
DR. JAIRO ROSARIO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
Mailing address
COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27245
FL
Other
Enumeration date
10/28/2022
Last updated
10/25/2023
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