Organization
DR IBRAHIM RABIDI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM A RABADI DDS (OWNER)
(626) 794-2606
Entity
Organization
Contact information
Practice address
2281 E WASHINGTON BLVD, PASADENA, CA 91104
(626) 794-2606
(626) 794-2879
Mailing address
2281 E WASHINGTON BLVD, PASADENA, CA 91104
(626) 794-2606
(626) 794-2879
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
26278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9218201
DENTI CAL
CA
Enumeration date
08/21/2007
Last updated
08/21/2007
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