| Laura Y. Jimenez, Dds Prof. Dental Corp | |
|
17500 Foothill Blvd Fontana CA 92335-3736 | |
| (909) 357-7000 | |
| Not Available |
| Full Name | Laura Y. Jimenez, Dds Prof. Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 17500 Foothill Blvd, Fontana, California |
| Authorized Official Name and Position | Laura Ysolina Jimenez (PRESIDENT) |
| Authorized Official Contact | 9093502598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Y. Jimenez, Dds Prof. Dental Corp 17500 Foothill Blvd Fontana CA 92335-3736 Ph: (909) 357-7000 | Laura Y. Jimenez, Dds Prof. Dental Corp 17500 Foothill Blvd Fontana CA 92335-3736 Ph: (909) 357-7000 |
| NPI Number | 1487803433 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 09/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487803433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55254 (California) | Primary |
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