Individual
DR. IBRAHIM ELGUMATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2710 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1510
(859) 781-3090
Mailing address
4336 WATERSTONE LN, LEXINGTON, KY 40515-6017
(859) 806-3052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10824
KY
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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