Individual
BILAL IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-4697
Mailing address
6475 KENILWORTH ST, DEARBORN, MI 48126-2158
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021.003447
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901600887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE OBTAINED
MI
Enumeration date
07/04/2020
Last updated
09/02/2025
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