| Marianna Ibrahim Dds Dental Corp | |
|
12462 Brookhurst St Ste C Garden Grove CA 92840-4759 | |
| (714) 537-5700 | |
| Not Available |
| Full Name | Marianna Ibrahim Dds Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 12462 Brookhurst St Ste C, Garden Grove, California |
| Authorized Official Name and Position | Marianna Ibrahim (PRESIDENT) |
| Authorized Official Contact | 7145375700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marianna Ibrahim Dds Dental Corp 12462 Brookhurst St Ste C Garden Grove CA 92840-4759 Ph: () - | Marianna Ibrahim Dds Dental Corp 12462 Brookhurst St Ste C Garden Grove CA 92840-4759 Ph: (714) 537-5700 |
| NPI Number | 1982251914 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 08/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982251914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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