Maisy Ibrahim Dental Corporation
Maisy Ibrahim Dental Corporation provides Dentist services in Palm Desert, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
41990 Cook St Ste D402Palm Desert, CA 92211-6100 Not confirmed with CMS for 11 years — call before visiting
Phone: (760) 340-0303
Fax: (760) 346-2304
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 43447 (CA) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1427319763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maisy Ibrahim — Owner · (760) 340-0303 |
| Other names | Desert Dental Spa |
| NPI enumerated | June 4, 2012 |
| Last updated in NPPES | June 22, 2015 |
| Mailing address | 41990 Cook St, Suite D402, Palm Desert, CA 92211-6100 |
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