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1619010840
MAISY S IBRAHIM
PALM DESERT, CA
NPI
1619010840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43447)
Enumeration Date
2007-02-15
Last Update Date
2011-06-22
Business Address
Mrs. MAISY S IBRAHIM D.D.S
41990 COOK ST D 402
PALM DESERT, CA 92211-6100
Phone number: 760-340-0303
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Mailing Address
Mrs. MAISY S IBRAHIM D.D.S
41990 COOK STREET D 402
PALM DESERT, CA 92211
Phone number: 760-340-0303
Copy
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