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1194805887
IBRAHIM MOHMAD AL-QAWAQNEH
ANAHEIM, CA
NPI
1194805887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 46726)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- IBRAHIM MOHMAD AL-QAWAQNEH DDS
1719 W ROMNEYA DR
ANAHEIM, CA 92801-1804
Phone number: 714-991-3900
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Mailing Address
-- IBRAHIM MOHMAD AL-QAWAQNEH DDS
1719 W ROMNEYA DR
ANAHEIM, CA 92801-1804
Phone number: 714-991-3900
Copy
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