IBRAHIM DENTAL CORPORATION (NPI# 1720323371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720323371 |
| Entity Type | Organization |
| Organization Name | IBRAHIM DENTAL CORPORATION |
| Practice Address |
25880 Tournament Rd Suite 103 Valencia CA 91355-2349 |
| Mailing Address |
23642 Lyons Ave #220465 Newhall CA 91322-6001 |
| Practice Telephone | 6612943700 |
| Practice Fax Number | 6612949080 |
| Mailing Telephone | 6612943700 |
| Mailing Fax Number | 6612949080 |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2012-12-09 |
| Authorized Official Name | DR. ENITAN CASSANDRA IBRAHIM (PRESIDENT) |
| Authorized Official Telephone | 6612943700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
50613 | CA | Ambulatory Health Care Facilities |
| Street Address |
25880 TOURNAMENT RD SUITE 103 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699714105 | John Bartholomew Pick | Dentist | 25880 Tournament Rd, Ste 218, Valencia, CA 91355-2845 | 2006-06-06 |
| 1740711449 | Pure Births | Clinic/Center | 25880 Tournament Rd, Suite 109, Valencia, CA 91355-2349 | 2017-03-23 |
| 1326413584 | Daniel J. Iannotti, Dds, Inc | Dentist | 25880 Tournament Rd, Suite 106, Valencia, CA 91355-2349 | 2015-12-14 |
| 1841668662 | Ju Ping Liu | Acupuncturist | 25880 Tournament Rd, Suite# 110, Valencia, CA 91355-2349 | 2015-09-10 |
| 1619345451 | Hongtao Liang | Acupuncturist | 25880 Tournament Rd, Suite# 110, Valencia, CA 91355-2349 | 2015-09-10 |
| 1780938928 | Anthony D. Panasci Md Professional Corporation | Surgery | 25880 Tournament Rd, #222, Valencia, CA 91355-2349 | 2012-11-08 |
| 1346598455 | Amanda Lynn Jenney | Dentist | 25880 Tournament Rd, Suite 212, Valencia, CA 91355-2349 | 2012-08-21 |
| 1124357397 | Keikhan & Fahid, A Dental Corporation | Dentist | 25880 Tournament Rd, Suite 106, Valencia, CA 91355-2349 | 2009-12-16 |
| 1609021864 | T&l Medical Group | Acupuncturist | 25880 Tournament Rd, 110, Valencia, CA 91355-2349 | 2008-12-01 |
| 1366616476 | Brian R Gross,md,inc. | Eyewear Supplier (Equipment, not the service) | 25880 Tournament Rd, Suite 109, Valencia, CA 91355-2349 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851948327 | Al-samarrai Dmd Inc | Clinic/Center | 28212 Kelly Johnson Pkwy Ste 220, Valencia, CA 91355-5090 | 2019-08-20 |
| 1679101968 | R.allen Smudde Dds | Clinic/Center | 27450 Tourney Rd Ste 250, Valencia, CA 91355-5624 | 2020-03-31 |
| 1669950630 | Rwigema Dental Corporation | Clinic/Center | 23501 Cinema Dr Ste 112, Valencia, CA 91355-5429 | 2018-08-01 |
| 1588101273 | Amin Javid Dds Inc | Clinic/Center | 27420 Tourney Rd Ste 230, Valencia, CA 91355-5635 | 2017-01-19 |
| 1306383096 | Shahin Javid Dds Inc | Clinic/Center | 27420 Tourney Rd Ste 230a, Valencia, CA 91355-5635 | 2017-01-19 |
| 1205285434 | Grace H. Hwang, Dmd, A Dental Corporation | Clinic/Center | 24510 Town Center Dr, Suite #210, Valencia, CA 91355-1337 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.