Laura Ysolina Jimenez, D.D.S Valid NPI
Individual provider · Dentist · Fontana, CA
- NPI
- 1821247826
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 55254 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-09-15
- Last updated
- 2008-09-15
Practice location
17500 Foothill Blvd Ste C2
Fontana, CA 92335-3751
(909) 357-7000