Individual provider · Type 1 NPI

Samy Aly Mohamed Ibrahim, DDS.

Orthodontics and Dentofacial Orthopedics Dentistry · Thousand Oaks, CA

NPI number 1710021969 Active

Practice location

166 N Moorpark Rd, Suite 302
Thousand Oaks, CA 91360-4405

Call (805) 497-7366 Map

Fax (805) 497-0638

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X39815 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1710021969

Samy Aly Mohamed Ibrahim, DDS.'s National Provider Identifier is 1710021969, issued on Feb 19, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Thousand Oaks, CA. The record was last updated on Jul 8, 2007.