Individual
BRIAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11812 MOUNT EVERETT CT, RANCHO CUCAMONGA, CA 91737-7925
(909) 520-3976
Mailing address
11812 MOUNT EVERETT CT, RANCHO CUCAMONGA, CA 91737-7925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111555
CA
Other
Enumeration date
05/12/2023
Last updated
07/09/2025
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