Organization
PETER N JIMENEZ DDS A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Little Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER N. JIMENEZ DDS (PEDIATRIC DENTIST)
(909) 794-4909
Entity
Organization
Contact information
Practice address
31646 DUNLAP BLVD UNIT C, YUCAIPA, CA 92399-1689
(909) 794-4909
(909) 794-4904
Mailing address
31646 DUNLAP BLVD UNIT C, YUCAIPA, CA 92399-1689
(909) 794-4909
(909) 794-4904
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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