Ilien Jimeniz Minter DDS INC
NPI #1689740102 in Poway, California
Provider Information
- NPI Number
- 1689740102
- Entity Type
- Organization
- Organization Name
- Ilien Jimeniz Minter DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 15725 POMERADO RD
- Address 2
- STE 204
- City
- Poway
- State
- California
- ZIP Code
- 92064
- Phone
- (858) 485-8420
Authorized Official
- Name
- DR. ILIEN J MINTER, DDS
- Title
- OWNER
- Phone
- (858) 485-8420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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