Individual
DR. ISLAM ALAA IBRAHIM MAHDY IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-3011
(262) 664-7799
Mailing address
12772 71ST ST APT 306, KENOSHA, WI 53142-8431
(630) 827-1120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001212
WI
Other
Enumeration date
06/27/2023
Last updated
07/10/2023
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