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Glen M Imamura, DDS
Oral and Maxillofacial Surgery (Dentist) in Clarksburg, Maryland
NPI 1306835053

Glen M Imamura is a Oral and Maxillofacial Surgery (Dentist) based in Clarksburg, MD and is specialized in Oral and Maxillofacial Surgery. Glen M Imamura practices in Clarksburg, MD and has the professional credentials of DDS. The NPI Number for Glen M Imamura is 1306835053 and holds a License No. (Maryland).

The current practice location address for Glen M Imamura is 13001 Ebenezer Chapel Dr, Clarksburg, MD and can be reached out via phone at 301-515-4281.

Location: 13001 Ebenezer Chapel Dr, Clarksburg, MD, 20871-4323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306835053
Provider Name
Glen M Imamura
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
13001 Ebenezer Chapel Dr, Clarksburg, MD, 20871-4323
Phone Number
301-515-4281
Fax Number
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13001 Ebenezer Chapel Dr
City
Clarksburg
State
Maryland
Zip
20871-4323
Phone Number
301-515-4281
Fax Number
person
Provider Business Mailing Address Details
Address
13001 Ebenezer Chapel Dr
City
Clarksburg
State
Maryland
Zip
20871-4323
Phone Number
301-515-4281
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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