Ibrahim Irawan DDS
NPI #1093055980 in Glendora, California
Provider Information
- NPI Number
- 1093055980
- Entity Type
- Organization
- Organization Name
- Ibrahim Irawan DDS
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 28, 2013
- Last Updated
- Dec 5, 2014
Practice Location
- Address
- 505 E ARROW HWY
- City
- Glendora
- State
- California
- ZIP Code
- 91740-6034
- Phone
- (626) 335-2899
Authorized Official
- Name
- DR. IBRAHIM IRAWAN
- Title
- OWNER
- Phone
- (626) 335-2899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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