Organization
NEDDA I. IBRAHIM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DRABICK (MANAGER)
(919) 873-1313
Entity
Organization
Contact information
Practice address
1009 DRESSER CT, RALEIGH, NC 27609-7323
(919) 873-1313
(919) 873-1323
Mailing address
1009 DRESSER CT, RALEIGH, NC 27609-7323
(919) 873-1313
(919) 873-1323
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5920
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994427
—
NC
Enumeration date
02/27/2008
Last updated
02/27/2008
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