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Organization
MARIANNA IBRAHIM DDS DENTAL CORP
Active
Organization
MARIANNA IBRAHIM DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNA IBRAHIM DDS (PRESIDENT)
(714) 537-5700
Entity
Organization
Contact information
Practice address
12462 BROOKHURST ST STE C, GARDEN GROVE, CA 92840-4759
(714) 537-5700
Mailing address
12462 BROOKHURST ST STE C, GARDEN GROVE, CA 92840-4759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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