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Provider Information for 1205991577



DR. CESAR JIMENEZ DDS

Gender: MALE

Individual NPI: 1205991577

Calendar   Last Updated:  2009-11-02
  Certification Date: 

Details

Name Value
NPI 1205991577
Enumeration Date 2006-12-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1209 E MAIN ST
EL CAJON, CA 92021-7245
United States

Phone: 619-442-0707 | Fax: 619-442-4931
View Map External Link
Primary Practice Address 1209 E MAIN ST
EL CAJON, CA 92021-7245
United States

Phone: 619-442-0707 | Fax: 619-442-4931
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other MEDI-CAL DENTAL PROGRAM CA D43980
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 43980