Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER NICHOLAS JIMENEZ, D.D.S
Active Sole ProprietorDR. PETER NICHOLAS JIMENEZ, D.D.S is a Pediatric Dentistry healthcare provider located in YUCAIPA, California. NPI 1891828778 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · YUCAIPA, CA
Registration Details
- NPI Number
- 1891828778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.455855809593 yrs)
- Last Updated
- Jul 8, 2007
- License
-
48471 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31646 DUNLAP BLVDSUITE #CYUCAIPA, CA, 923991602Browse CA providers · Browse ZIP 92399
- Phone
- 9097944909
- Fax
- 9097944904
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.