Healthcare Provider Details

I. General information

NPI: 1790358679
Provider Name (Legal Business Name): KAREN IBRAHIM DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4048 W HILLSBORO BLVD
DEERFIELD BEACH FL
33442-9416
US

IV. Provider business mailing address

4048 W HILLSBORO BLVD
DEERFIELD BEACH FL
33442-9416
US

V. Phone/Fax

Practice location:
  • Phone: 954-507-9377
  • Fax:
Mailing address:
  • Phone: 954-507-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN26192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: