Individual
DR. JOHN J JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4831 SOQUEL DR, SOQUEL, CA 95073
(831) 475-2022
(831) 475-3605
Mailing address
4831 SOQUEL DR, SOQUEL, CA 95073
(831) 475-2022
(831) 475-3605
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53317
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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