| Donald L Iman Dds Inc. | |
|
23470 Olive Wood Plaza Dr Ste 170 Moreno Valley CA 92553-5267 | |
| (951) 242-8426 | |
| (951) 242-5639 |
| Full Name | Donald L Iman Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23470 Olive Wood Plaza Dr Ste 170, Moreno Valley, California |
| Authorized Official Name and Position | Donald Lee Iman (OWNER/ CEO) |
| Authorized Official Contact | 9512834626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald L Iman Dds Inc. 23470 Olive Wood Plaza Dr Ste 170 Moreno Valley CA 92553-5267 Ph: (951) 242-8426 | Donald L Iman Dds Inc. 23470 Olive Wood Plaza Dr Ste 170 Moreno Valley CA 92553-5267 Ph: (951) 242-8426 |
| NPI Number | 1962811349 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962811349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30538 (California) | Primary |
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