Laura Y. Jimenez, DDS Prof. Dental Corp
NPI #1487803433 in Fontana, California
Provider Information
- NPI Number
- 1487803433
- Entity Type
- Organization
- Organization Name
- Laura Y. Jimenez, DDS Prof. Dental Corp
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 15, 2008
- Last Updated
- Sep 15, 2008
Practice Location
- Address
- 17500 FOOTHILL BLVD
- City
- Fontana
- State
- California
- ZIP Code
- 92335-3736
- Phone
- (909) 357-7000
Authorized Official
- Name
- MRS. LAURA YSOLINA JIMENEZ, D.D.S
- Title
- PRESIDENT
- Phone
- (909) 350-2598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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