Imamura, Glen M

Imamura, Glen M is an individual health care provider with primary practice located at 13001 Ebenezer Chapel Dr , Clarksburg MD 20871-4323. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Imamura, Glen M can be contacted via phone (301) 515-4281.

Contact Information

Primary practice address
13001 Ebenezer Chapel Dr Clarksburg MD 20871-4323
Phone: (301) 515-4281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Illinois

Profile Details

NPI number 1306835053
LBN Legal business name Imamura, Glen M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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