PETER N JIMENEZ DDS A PROFESSIONAL DENTAL CORPORATION NPI 1598232308

NPI Information

PETER N JIMENEZ DDS A PROFESSIONAL DENTAL CORPORATION is a pediatric dentistry dentist in Yucaipa, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PETER N JIMENEZ DDS A PROFESSIONAL DENTAL CORPORATION NPI is 1598232308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31646 DUNLAP BLVD UNIT C
YUCAIPA, CA
ZIP 92399-689
Phone: (909) 794-4909
Fax: (909) 794-4904

The provider's authorized official is Peter N. Jimenez .
The authorized official title is Pediatric Dentist and has the following contact phone number (909) 794-4909.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 10/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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