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1710021969
SAMY ALY MOHAMED IBRAHIM
THOUSAND OAKS, CA
NPI
1710021969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 39815)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Dr. SAMY ALY MOHAMED IBRAHIM DDS.
166 N MOORPARK RD SUITE 302
THOUSAND OAKS, CA 91360-4405
Phone number: 805-497-7366
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Mailing Address
Dr. SAMY ALY MOHAMED IBRAHIM DDS.
166 N MOORPARK RD SUITE 302
THOUSAND OAKS, CA 91360-4405
Phone number: 805-497-7366
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