Individual
IBRAHIM A AL-JERDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1640 FORT ST, TRENTON, MI 48183-2040
(734) 675-8400
Mailing address
20818 E RIVER RD, GROSSE ILE, MI 48138-1165
(734) 931-2484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601703
MI
Other
Enumeration date
04/24/2023
Last updated
11/20/2023
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