Individual
DR. AIDA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
425 S CHERRY ST STE 700, GLENDALE, CO 80246-1234
(303) 322-8600
Mailing address
5031 S ULSTER ST APT 1109, DENVER, CO 80237-2572
(970) 690-3353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205177
CO
Other
Enumeration date
04/10/2021
Last updated
10/03/2022
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