GLEN M IMAMURA

CLARKSBURG, MD
NPI1306835053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  019-018944)
Enumeration Date2005-10-17
Last Update Date2007-07-08
Business Address
-- GLEN M IMAMURA dds
13001 EBENEZER CHAPEL DR
CLARKSBURG, MD 20871-4323
Phone number: 301-515-4281
Mailing Address
-- GLEN M IMAMURA dds
13001 EBENEZER CHAPEL DR
CLARKSBURG, MD 20871-4323
Phone number:
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