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Individual

DR. MICHAEL JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5540 SUNSET BLVD, LEXINGTON, SC 29072-9262
(803) 358-8250
Mailing address
533 LITCHFIELD LN, LEXINGTON, SC 29072-2358
(706) 231-3598

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33053
TX

Other

Enumeration date
06/09/2017
Last updated
02/23/2021
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