Individual
DR. IBRAHIM AHMED AL-MUTAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1730 SW WANAMAKER RD, TOPEKA, KS 66604-3813
(785) 338-4048
Mailing address
204 N EISENHOWER DR APT E7, LAWRENCE, KS 66049-5133
(816) 810-8434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61948
KS
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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