Individual
DR. ARTHUR STEVEN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5331 E. 21ST. N, WICHITA, KS 67208
(316) 681-2688
(316) 681-0869
Mailing address
9911 E. 21ST, APT. #701, WICHITA, KS 67206
(316) 681-2688
(316) 681-0869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5357
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5357
DENTAL LICENSE NUMBER
KS
01
—
8917
BCBS NUMBER
KS
Enumeration date
09/28/2006
Last updated
07/08/2007
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