Pimendent, Pa | |
560 N Us Highway 27 # 441 Lady Lake FL 32159-3776 | |
(352) 259-1065 | |
Not Available |
Full Name | Pimendent, Pa |
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Speciality | Dentist - General Practice |
Location | 560 N Us Highway 27 # 441, Lady Lake, Florida |
Authorized Official Name and Position | Ashley Cole (PROVIDER RELATIONS MANAGER) |
Authorized Official Contact | 8662738204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pimendent, Pa Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Pimendent, Pa 560 N Us Highway 27 # 441 Lady Lake FL 32159-3776 Ph: (352) 259-1065 |
NPI Number | 1093062630 |
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Provider Enumeration Date | 08/14/2012 |
Last Update Date | 08/14/2012 |
Identifier | Type | State | Issuer |
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1093062630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN17338 (Florida) | Primary |
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