Individual
EBRAHIM MIKAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22636 VENTURA BLVD, WOODLAND HILLS, CA 91364-1415
(818) 591-0123
(818) 591-0132
Mailing address
22636 VENTURA BLVD, WOODLAND HILLS, CA 91364-1415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51715
CA
1223G0001X
General Practice Dentistry
51715
CA
Other
Enumeration date
09/27/2006
Last updated
09/11/2025
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