Individual
CHRISTINE IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8626 ROUTE 29 STE 205, FAIRFAX, VA 22031-2135
(703) 992-9222
Mailing address
8626 ROUTE 29 STE 205, FAIRFAX, VA 22031-2135
(703) 992-9222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419122
VA
Other
Enumeration date
08/07/2024
Last updated
03/06/2025
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