Damian Richard Jimenez

NPI 1699919126 - Dentist - 1223S0112X

NPI Details
NPI 1699919126
Gender Male
Enumeration Date 04/28/2009
Last Updated 02/07/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
5635 PEACHTREE PKWY
SUITE 100
NORCROSS GA, 30092-2879, US
Phone (404) 990-4595
Fax
Business Location
201 OGLETHORPE DR NE
BROOKHAVEN GA, 30319-2767, US
Phone (404) 323-3206
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Georgia
License Number DN014908
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According to our database, Damian Richard Jimenez NPI is 1699919126, taxonomy code is 1223S0112X and license number is DN014908, license state is located at Georgia. Damian Richard Jimenez physically located at 5635 Peachtree Pkwy, Norcross GA, 30092-2879. NPI Number Damian Richard Jimenez has the Individual type.

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1699919126 NPI number is provided on an as is basis without warranty of any kind. 1699919126 is maintained by the National Plan & Provider Enumeration System. The contents of Damian Richard Jimenez are for informational purposes only.