Provider Demographics
NPI:1588855738
Name:JIMENEZ, FRANCISCO E (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:E
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:12798 W FOREST HILL BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-793-7515
Mailing Address - Fax:561-793-5049
Practice Address - Street 1:12798 W FOREST HILL BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-793-7515
Practice Address - Fax:561-793-5049
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN00138811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry