Individual
DR. ALFAIYAZ IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2373 CENTRAL PARK BLVD UNIT 305, DENVER, CO 80238-2301
(206) 228-2173
Mailing address
2580 17TH ST UNIT 207, DENVER, CO 80211-6411
(206) 228-2173
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9407
CO
1223P0221X
Pediatric Dentistry
DE00009700
WA
Other
Enumeration date
07/05/2007
Last updated
01/12/2009
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