Maisy S. Ibrahim, D.D.S

General Practice Dentistry · Palm Desert, CA

Individual Active NPI

NPI number 1619010840

Practice location

41990 Cook St
D 402
Palm Desert, CA 92211-6100
Phone
(760) 340-0303
Fax
(760) 346-2304

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NPI record

NPI
1619010840
Entity type
Individual (Type 1)
Enumeration date
February 15, 2007
Last updated
June 22, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 43447 CA

Mailing address

41990 Cook Street
D 402
Palm Desert, CA 92211
Phone
(760) 340-0303
Fax
(760) 346-2304

About Dr. Ibrahim

Maisy S. Ibrahim, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 41990 Cook St, D 402, Palm Desert, CA 92211-6100. The NPI number 1619010840 was assigned on February 15, 2007 and the record was last updated on June 22, 2011.

Dr. Ibrahim lists a license in the registry: #43447 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maisy S. Ibrahim, D.D.S?

The NPI number is 1619010840.

What is the phone number of Dr. Ibrahim?

The phone number listed for the practice location is (760) 340-0303.

Where is Dr. Ibrahim located?

41990 Cook St, D 402, Palm Desert, CA 92211-6100.

What is the taxonomy code for Dr. Ibrahim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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