Organization
DONALD L IMAN DDS INC.
Active
Parent organization
DONALD L IMAN DDS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONALD L IMAN DDS INC.
Authorized official
DR. DONALD LEE IMAN DDS (OWNER/ CEO)
(951) 283-4626
Entity
Organization
Contact information
Practice address
23470 OLIVE WOOD PLAZA DR STE 170, MORENO VALLEY, CA 92553-5267
(951) 242-8426
(951) 242-5639
Mailing address
23470 OLIVE WOOD PLAZA DR STE 170, MORENO VALLEY, CA 92553-5267
(951) 242-8426
(951) 242-5639
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30538
CA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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