Provider Demographics
NPI:1134483837
Name:PIMENTEL LEMOINE, ARLENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:PIMENTEL LEMOINE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ARLENE
Other - Middle Name:PIMENTEL
Other - Last Name:LEMOINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:21 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2634
Mailing Address - Country:US
Mailing Address - Phone:508-478-1555
Mailing Address - Fax:
Practice Address - Street 1:21 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2634
Practice Address - Country:US
Practice Address - Phone:508-478-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18559741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice