Pimendent, PA

NPI #1093062630 in Lady Lake, Florida

Provider Information

NPI Number: 1093062630
Entity Type: Organization
Organization Name: Pimendent, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 14, 2012
Last Updated: Aug 14, 2012

Practice Location

Address: 560 N US HIGHWAY 27 # 441
City: Lady Lake
State: Florida
ZIP Code: 32159-3776
Phone: (352) 259-1065

Authorized Official

Name: ASHLEY COLE
Title: PROVIDER RELATIONS MANAGER
Phone: (866) 273-8204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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