Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN M IMAMURA, DDS
ActiveGLEN M IMAMURA, DDS is a Oral & Maxillofacial Surgery healthcare provider located in CLARKSBURG, Maryland. NPI 1306835053 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CLARKSBURG, MD
Registration Details
- NPI Number
- 1306835053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.863659285035 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
13001 EBENEZER CHAPEL DRCLARKSBURG, MD, 208714323Browse MD providers · Browse ZIP 20871
- Phone
- 3015154281
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.