Marianna Ibrahim DDS Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARIANNA IBRAHIM DDS DENTAL CORP

Practice address

12462 Brookhurst St Ste C
Garden Grove, CA 92840-4759

Phone

(714) 537-5700

NPI assigned

Aug 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marianna Ibrahim, DDS

Title

President

Phone

(714) 537-5700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1982251914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 BROOKHURST ST STE C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 BROOKHURST ST STE C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404759",
            "telephone_number": "714-537-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA IBRAHIM DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-537-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romeo Damion Mao
• Melissa Maranon
• Kassady Marasigan
• Jesse Maravilla
• Shellsey Mares
• Mariarx Inc
• Carlos Marin, RDA
• David Marin
• Lilia Marmolejo
• Lynn Ellen Marony, CPNP

• Dentist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.