Individual
DR. PETER NICHOLAS JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
31646 DUNLAP BLVD, SUITE #C, YUCAIPA, CA 92399-1602
(909) 794-4909
(909) 794-4904
Mailing address
31646 DUNLAP BLVD, STE.C, YUCAIPA, CA 92399-1602
(909) 794-4909
(909) 794-4904
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
48471
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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