Individual
DR. MAYTHAM IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9550 DIX, DEARBORN, MI 48120-1529
(313) 438-5158
Mailing address
5669 CALHOUN ST, DEARBORN, MI 48126-2235
(313) 525-0480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601290
MI
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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