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1326878893
CHRISTINE IBRAHIM
FAIRFAX, VA
NPI
1326878893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401419122)
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
CHRISTINE IBRAHIM
9621 FAIRFAX BLVD
FAIRFAX, VA 22031-2321
Phone number: 571-601-4906
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Mailing Address
CHRISTINE IBRAHIM
13569 LAVENDER MIST LN
CENTREVILLE, VA 20120-3071
Phone number: 571-776-6784
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