| NPI | 1386920874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL IMBERMAN Dmd, President 818-345-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 32324) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2012-01-03 |