Ilien Jimeniz Minter Dds Inc in Poway - General Practice
Ilien Jimeniz Minter Dds Inc - NPI 1689740102
Ilien Jimeniz Minter Dds Inc is a General Practice in Poway, California. Ilien Jimeniz Minter Dds Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ilien Jimeniz Minter Dds Inc is 1689740102. The last update date is 2008-04-20.
Ilien Jimeniz Minter Dds Inc's current location address is 15725 Pomerado Rd, Poway, California. You can contact this provider via phone number 8584858420 and fax number 8584855773. The mailing address for Ilien Jimeniz Minter Dds Inc is 15725 Pomerado Rd, Poway, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ilien Jimeniz Minter Dds Inc |
|---|---|
| Address | 15725 Pomerado Rd, Poway, California |
| Phone Number | 8584858420 |
| Fax Number | 8584855773 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Minter J Ilien |
| Credentials | DDS |
| Telephone Number | 8584858420 |
NPI Number Detail
| NPI Number | 1689740102 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 15725 Pomerado Rd |
|---|---|
| City | Poway |
| State | California (CA) |
| Post Code | 92064 |
| Phone Number | 8584858420 |
| Fax Number | 8584855773 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 51974 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Ilien Jimeniz Minter Dds Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Ilien Jimeniz Minter Dds Inc has been assigned the NPI (National Provider Identifier) 1689740102. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Ilien Jimeniz Minter Dds Inc's facilities are situated?
The facilities of Ilien Jimeniz Minter Dds Inc are physically located at the following address: 15725 Pomerado Rd, Poway, CA, 92064.
What is the Ilien Jimeniz Minter Dds Inc's specialty and taxonomy code?
The Ilien Jimeniz Minter Dds Inc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689740102 to Ilien Jimeniz Minter Dds Inc?
The Ilien Jimeniz Minter Dds Inc received its 1689740102 assignment from the Centers for Medicare & Medicaid Services on 2006-11-27.
As of what date were the details related to Ilien Jimeniz Minter Dds Inc most recently updated or revised?
The information pertaining to Ilien Jimeniz Minter Dds Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.