Individual
JAMES P. IMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2825 FARVIEW DR, RICHFIELD, WI 53076-9712
(262) 677-3786
Mailing address
2825 FARVIEW DR, RICHFIELD, WI 53076-9712
(262) 677-3786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33796100
—
WI
Enumeration date
08/08/2007
Last updated
08/08/2007
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