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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILIEN JIMENIZ MINTER DDS INC

Active Organization

ILIEN JIMENIZ MINTER DDS INC is a General Dentistry organization located in POWAY, California. NPI 1689740102 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · POWAY, CA

Registration Details

NPI Number
1689740102
Provider Type
Organization
NPI Issued
Nov 27, 2006 (19.728307716771 yrs)
Last Updated
Apr 20, 2008
Licenses
51974 (CA)
38912 (CA)
55919 (CA)
DUO34933 (CA)

Practice Information

Address
15725 POMERADO RD
STE 204
POWAY, CA, 92064
Browse CA providers · Browse ZIP 92064
Phone
8584858420
Fax
8584855773
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.