Individual provider · Type 1 NPI

Giovanni Ibrahim, DMD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1922598093 Active

Practice location

330 Orchard St
New Haven, CT 06511

Call (203) 789-3156 Map

Mailing address

20 York St
New Haven, CT 06510-3220

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2.012180-RES (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000X2.012180-RES (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922598093

Giovanni Ibrahim, DMD's National Provider Identifier is 1922598093, issued on May 15, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jun 4, 2018.