Samy Aly Mohamed Ibrahim, DDS. Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Thousand Oaks, CA
- NPI
- 1710021969
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 39815 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-19
- Last updated
- 2007-07-08
Practice location
166 N Moorpark Rd, Suite 302
Thousand Oaks, CA 91360-4405
(805) 497-7366