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Organization
IBRAHIM IRAWAN DDS
Active
Organization
IBRAHIM IRAWAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM IRAWAN (OWNER)
(626) 335-2899
Entity
Organization
Contact information
Practice address
505 E ARROW HWY, GLENDORA, CA 91740-6034
(626) 335-2899
Mailing address
505 E ARROW HWY, GLENDORA, CA 91740-6034
(626) 335-2899
(626) 335-3892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37119
CA
Other
Enumeration date
02/28/2013
Last updated
12/05/2014
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