Individual
DR. ANTHONY IMBURGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2230 STAFFORD RD, SUITE 157, PLAINFIELD, IN 46168-2789
(317) 997-7930
Mailing address
2230 STAFFORD RD, SUITE 157, PLAINFIELD, IN 46168-2789
(317) 997-7930
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011689A
IN
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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