Tayseer a Ibrahim DDS PC

NPI #1235356635 in Beach Park, Illinois

Provider Information

NPI Number
1235356635
Entity Type
Organization
Organization Name
Tayseer a Ibrahim DDS PC
Primary Specialty
Dentist
Enumeration Date
Apr 19, 2007
Last Updated
Jan 22, 2021

Practice Location

Address
11316 W WADSWORTH RD
ZIP Code
60099-3367
Phone
(847) 872-5530

Authorized Official

Name
MRS. TAYSEER AHMED IBRAHIM, DDS
Title
PRESIDENT
Phone
(847) 872-5530

Specialties & Taxonomy Codes

Specialty
Dentist

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