| Mike Imberman D M D Inc A Professional Corporation | |
|
18425 Burbank Blvd Ste 709 Tarzana CA 91356-2806 | |
| (818) 345-5300 | |
| (818) 345-3863 |
| Full Name | Mike Imberman D M D Inc A Professional Corporation |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18425 Burbank Blvd, Tarzana, California |
| Authorized Official Name and Position | Michael Imberman (DMD, PRESIDENT) |
| Authorized Official Contact | 8183455300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Imberman D M D Inc A Professional Corporation 18425 Burbank Blvd Ste 709 Tarzana CA 91356-2806 Ph: (818) 345-5300 | Mike Imberman D M D Inc A Professional Corporation 18425 Burbank Blvd Ste 709 Tarzana CA 91356-2806 Ph: (818) 345-5300 |
| NPI Number | 1386920874 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386920874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 32324 (California) | Primary |
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