Individual
IDIRIS IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8245 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9786
(440) 856-7301
Mailing address
8245 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9786
(440) 856-7301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027488
OH
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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