Individual
EDWARD YLAGAN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7055 ENGLE RD, STE 501, CLEVELAND, OH 44130-8491
(440) 243-1600
(440) 243-1604
Mailing address
7055 ENGLE RD, STE 501, CLEVELAND, OH 44130-8491
(440) 243-1600
(440) 243-1604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199848
—
OH
Enumeration date
12/19/2006
Last updated
03/30/2016
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