Individual
IBRAHIM IDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENE
Contact information
Practice address
7223 MISSISSIPPI AVENUE, BLDG 1561, FORT POLK, LA 71459-7435
(726) 780-1451
Mailing address
7223 MISSISSIPPI AVENUE, BLDG 1561, FORT POLK, LA 71459-7435
(726) 780-1451
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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