Individual
DR. JOHN FREDERICK JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3360 LACROSSE LN, SUITE #100, NAPERVILLE, IL 60564-8136
(630) 369-4477
(630) 369-4422
Mailing address
3360 LACROSSE LN, SUITE #100, NAPERVILLE, IL 60564-8136
(630) 369-4477
(630) 369-4422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/05/2006
Last updated
04/15/2008
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