Individual
DR. IBRAHIM AHMED SHIHADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
Mailing address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03107
RI
Other
Enumeration date
06/24/2010
Last updated
02/10/2012
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