Individual
DR. IBRAHEEM SAMIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1194 BIG BETHEL RD, HAMPTON, VA 23666-1906
(757) 690-0009
Mailing address
12502 DARDANELLE CT, HERNDON, VA 20170-5731
(202) 492-0034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416884
VA
1223G0001X
General Practice Dentistry
16587
MD
Other
Enumeration date
11/22/2017
Last updated
07/19/2021
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