Ibraheem Maita

NPI #1396537221 in Hazel Park, Michigan

Provider Information

NPI Number: 1396537221
Entity Type: Individual
Name: Ibraheem Maita
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 19, 2025
Last Updated: Sep 11, 2025

Practice Location

Address: 22241 JOHN R RD CHILDRENS DENTAL SPECIALISTS
City: Hazel Park
State: Michigan
ZIP Code: 48030
Phone: (248) 336-0356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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