Individual
DR. IBRAHIM M. HARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10009 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2709
(540) 225-2259
(540) 225-2253
Mailing address
10009 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2709
(540) 225-2259
(540) 225-2253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414186
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401414186
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000355
VA
Other
Enumeration date
06/24/2010
Last updated
09/23/2021
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