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1790920759
RICHARD MARK IMBACH
BALTIMORE, MD
NPI
1790920759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 06979)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
Dr. RICHARD MARK IMBACH DDS
4809 LEEDS AVE
BALTIMORE, MD 21227
Phone number: 410-242-1112
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Mailing Address
Dr. RICHARD MARK IMBACH DDS
4809 LEEDS AVE
BALTIMORE, MD 21227
Phone number: 410-242-1112
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