Individual
MARY IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2994
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004632
OH
Other
Enumeration date
04/20/2023
Last updated
06/27/2023
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