# CAROLIN IBRAHIM DDS MSD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Everest Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457068470
- **Authorized official:** DR. CAROLIN IBRAHIM DDS, MSD (DOCTOR)
- **Authorized official phone:** (248) 759-8831

## Contact information

- **Practice address:** 22601 ALLEN RD STE 400, WOODHAVEN, MI 48183-2273
- **Practice address phone:** (734) 767-2067
- **Mailing address:** 11360 PACENTRO CIR, STERLING HEIGHTS, MI 48312-1278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2022
- **Last updated:** 12/23/2022
