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Individual

IBRAHEEM THABIT HASSOON AL KHAFAJI

Active
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Individual

IBRAHEEM THABIT HASSOON AL KHAFAJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D14547
MN
1223G0001X
General Practice Dentistry
Primary
38126
TX

Other

Enumeration date
05/27/2021
Last updated
08/05/2022
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