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Individual

DR. IBRAHIM JADUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15148 N DALE MABRY HWY, TAMPA, FL 33618-1817
(813) 960-0106
Mailing address
2471 SW 82ND AVE APT 309, DAVIE, FL 33324-5776
(330) 503-7399

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22638
FL

Other

Enumeration date
06/12/2017
Last updated
06/12/2017
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