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Organization
IBRAHIM AL-QAWAQNEH DDS, INC.
Active
Organization
IBRAHIM AL-QAWAQNEH DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM AL-QAWAQNEH DDS (OWNER)
(714) 991-3900
Entity
Organization
Contact information
Practice address
1719 W ROMNEYA DR, ANAHEIM, CA 92801-1804
(714) 991-3900
(714) 991-3999
Mailing address
1719 W ROMNEYA DR, ANAHEIM, CA 92801-1804
(714) 991-3900
(714) 991-3999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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