Ibrahim Irawan D.D.S.

NPI 1083827976 - Dentist - 1223G0001X

NPI Details
NPI 1083827976
Gender Male
Enumeration Date 05/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
505 E ARROW HWY
GLENDORA CA, 91740-6034, US
Phone (626) 335-2899
Fax (626) 335-3892
Business Location
505 E ARROW HWY
GLENDORA CA, 91740-6034, US
Phone (626) 335-2899
Fax (626) 335-3892
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 37119
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According to our database, Dr. Ibrahim Irawan D.D.S. NPI is 1083827976, taxonomy code is 1223G0001X and license number is 37119, license state is located at California. Ibrahim Irawan D.D.S. physically located at 505 E Arrow Hwy, Glendora CA, 91740-6034. NPI Number Ibrahim Irawan D.D.S. has the Individual type.

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1083827976 NPI number is provided on an as is basis without warranty of any kind. 1083827976 is maintained by the National Plan & Provider Enumeration System. The contents of Ibrahim Irawan D.D.S. are for informational purposes only.