| NPI | 1265040877 |
|---|---|
| Doing Business As | IMBODEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAREN M IMBODEN Owner 870-633-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-08-11 |