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Individual

DR. JENNIFER K LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
410 N MALACATE ST BLDG B, DESERT SENITA DENTAL CENTER, AJO, AZ 85321-2254
(520) 387-4500
(520) 387-3509
Mailing address
410 MALACATE ST, BLDG B, AJO, AZ 85321
(520) 387-4500
(520) 387-3509

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5942
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
910316
AHCCCS
AZ
Enumeration date
07/17/2006
Last updated
08/05/2011
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