Individual
GARY R. IMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1758 BALTIMORE BLVD, WESTMINSTER, MD 21157-7109
(410) 848-9070
(410) 848-7485
Mailing address
1758 BALTIMORE BLVD, WESTMINSTER, MD 21157-7109
(410) 848-9070
(410) 848-7485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7924
MD
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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