Search › Maryland › 1223S0112X
Glen Imamura, DDS
NPI 1306835053 · on the registry since 2005
Practice
- Address
- 13001 Ebenezer Chapel Dr
Clarksburg, MD 20871 - Phone
- (301) 515-4281
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland