DR. Ibrahim I Mirkhan, DMD

NPI #1780739326 in Ridgewood, New Jersey

Provider Information

NPI Number: 1780739326
Entity Type: Individual
Name: DR. Ibrahim I Mirkhan, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 60 W RIDGEWOOD AVE
Address 2: SUITE8
City: Ridgewood
State: New Jersey
ZIP Code: 07450-3197
Phone: (201) 444-2450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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