Individual
DR. AHMAD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6950 SCHAEFER RD, DEARBORN, MI 48126-4503
(313) 584-3210
Mailing address
6164 KINMORE ST, DEARBORN HEIGHTS, MI 48127-3059
(313) 699-0060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600664
MI
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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