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Organization
MIKE IMBERMAN D M D INC A PROFESSIONAL CORPORATION
Active
Organization
MIKE IMBERMAN D M D INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL IMBERMAN DMD (DMD, PRESIDENT)
(818) 345-5300
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD, STE 709, TARZANA, CA 91356-2806
(818) 345-5300
(818) 345-3863
Mailing address
18425 BURBANK BLVD, STE 709, TARZANA, CA 91356-2806
(818) 345-5300
(818) 345-3863
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
32324
CA
Other
Enumeration date
10/27/2011
Last updated
01/03/2012
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