JONATHAN LEE MIMS

SPARTANBURG, SC
NPI1639393846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: SC  4052)
Enumeration Date2007-04-12
Last Update Date2010-12-29
Business Address
DR. JONATHAN LEE MIMS DMD
371 WHITNEY RD
SPARTANBURG, SC 29303-3143
Phone number: 864-515-0485
Mailing Address
DR. JONATHAN LEE MIMS DMD
201 W 8TH ST SUITE 810
PUEBLO, CO 81003-3038
Phone number: 719-562-4447