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NPI Code Detail

MEDICARE: KAREN IBRAHIM DDS

MEDICARE:   KAREN  IBRAHIM  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN26192FL

General Provider Information

NPI Number : 1790358679
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN IBRAHIM DDS
Provider Business Mailing Address
First Line : 4048 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9416
Country : US
Telephone Number : 954-507-9377
Fax Number :
Provider Business Practice Location Address
First Line : 4048 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9416
Country : US
Telephone Number : 954-507-9377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2021
Last Update Date : 05/18/2026

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Directions to “ KAREN IBRAHIM DDS” Practice Location

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