Individual
DR. AHMED GAMIL IBRAHEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1601 N TUCSON BLVD STE 12C, TUCSON, AZ 85716-3405
(520) 200-5062
Mailing address
16450 W VAN BUREN ST APT 2029, GOODYEAR, AZ 85338-1610
(718) 200-1428
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D010935
AZ
Other
Enumeration date
02/19/2020
Last updated
07/21/2021
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