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Individual

DR. IBRAHIM I MIRKHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
60 W RIDGEWOOD AVE, SUITE8, RIDGEWOOD, NJ 07450-3197
(201) 444-2450
(201) 444-3262
Mailing address
60 W RIDGEWOOD AVE, SUITE8, RIDGEWOOD, NJ 07450-3197
(201) 444-2450
(201) 444-3262

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20915
NJ

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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