Individual
DR. MANAL IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1526 IL ROUTE 59, JOLIET, IL 60431
(815) 436-8787
(815) 436-8788
Mailing address
1526 IL ROUTE 59, JOLIET, IL 60431
(815) 436-8787
(815) 436-8788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0510771
NY
122300000X
Dentist
—
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
10/27/2007
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