Individual provider · Type 1 NPI

Jacklyn Ibrahim

Dentist · Los Angeles, CA

NPI number 1699277293 Active

Practice location

8405 Beverly Blvd
Los Angeles, CA 90048-3401

Call (323) 653-1990 Map

Mailing address

11350 Culver Blvd
Los Angeles, CA 90066-6088

Other practice locations

  • 55 E Julian St, San Jose, CA 95112-4007 · (408) 280-0672

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X104338 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1699277293

Jacklyn Ibrahim's National Provider Identifier is 1699277293, issued on Feb 28, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 29, 2019.