Individual
DR. SARA IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 255-1782
Mailing address
5240 DUKE ST APT 109, ALEXANDRIA, VA 22304-2952
(304) 419-5231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415756
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2016
Last updated
08/01/2019
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