| Imburgia Orthodontics Llc | |
|
2230 Stafford Rd Suite 157 Plainfield IN 46168-2789 | |
| (317) 296-5388 | |
| Not Available |
| Full Name | Imburgia Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2230 Stafford Rd, Plainfield, Indiana |
| Authorized Official Name and Position | Anthony Imburgia (SOLE MEMBER) |
| Authorized Official Contact | 3179977930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imburgia Orthodontics Llc 2230 Stafford Rd Suite 157 Plainfield IN 46168-2789 Ph: (317) 296-5388 | Imburgia Orthodontics Llc 2230 Stafford Rd Suite 157 Plainfield IN 46168-2789 Ph: (317) 296-5388 |
| NPI Number | 1528408945 |
|---|---|
| Provider Enumeration Date | 06/29/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528408945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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