DR. Ilein Jimenez Minter, DDS

NPI #1265594055 in Poway, California

Provider Information

NPI Number: 1265594055
Entity Type: Individual
Name: DR. Ilein Jimenez Minter, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15725 POMERADO RD
Address 2: #204
City: Poway
State: California
ZIP Code: 92064
Phone: (858) 485-8420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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