Individual
DR. CAROLIN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S. D.
Contact information
Practice address
24911 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48080-3200
(586) 863-1336
Mailing address
24911 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48080-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020971
MI
1223E0200X
Endodontics
Primary
2901020971
MI
Other
Enumeration date
07/11/2013
Last updated
01/19/2022
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