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Dr. Peter Nicholas Jimenez, DDS
Pediatric Dentist in Yucaipa, California
NPI 1891828778

Peter Nicholas Jimenez is a Pediatric Dentist based in Yucaipa, CA and is specialized in Pediatric Dentistry. Peter Nicholas Jimenez practices in Yucaipa, CA and has the professional credentials of DDS. The NPI Number for Peter Nicholas Jimenez is 1891828778 and holds a License No. 48471 (California).

The current practice location address for Peter Nicholas Jimenez is 31646 Dunlap Blvd, Yucaipa, CA and can be reached out via phone at 909-794-4909 and via fax at 909-794-4904.

Location: 31646 Dunlap Blvd, Yucaipa, CA, 92399-1602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891828778
Provider Name
Peter Nicholas Jimenez
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
31646 Dunlap Blvd, Yucaipa, CA, 92399-1602
Phone Number
909-794-4909
Fax Number
909-794-4904
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31646 Dunlap Blvd
City
Yucaipa
State
California
Zip
92399-1602
Phone Number
909-794-4909
Fax Number
909-794-4904
person
Provider Business Mailing Address Details
Address
31646 Dunlap Blvd
City
Yucaipa
State
California
Zip
92399-1602
Phone Number
909-794-4909
Fax Number
909-794-4904
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
48471 (California)
Definition
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.
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