Mohamed Ibrahim

NPI #1659888717 in Ruther Glen, Virginia

Provider Information

NPI Number: 1659888717
Entity Type: Individual
Name: Mohamed Ibrahim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jan 10, 2018
Last Updated: Jan 10, 2018

Practice Location

Address: 18010 JEFFERSON DAVIS HIGHWAY
City: Ruther Glen
State: Virginia
ZIP Code: 22546
Phone: (804) 589-1491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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