Individual
MARYOU IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22245 LORAIN RD, FAIRVIEW PARK, OH 44126-3315
(440) 644-8100
Mailing address
22245 LORAIN RD, FAIRVIEW PARK, OH 44126-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.028081
OH
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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