Ibrahim, Mona Rizk

Ibrahim, Mona Rizk is an sole proprietor health care provider with primary practice located at Detroit Health Dept. - Herman Kiefer Health Complex 1151 Taylor Street, 7Th Floor Pediatric Dental Clinic, Detroit MI 48202-1732. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Ibrahim, Mona Rizk can be contacted via phone (313) 876-4087.

Contact Information

Primary practice address
Detroit Health Dept. - Herman Kiefer Health Complex 1151 Taylor Street, 7Th Floor Pediatric Dental Clinic Detroit MI 48202-1732
Phone: (313) 876-4087
Fax: (313) 871-1589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Michigan

Profile Details

NPI number 1093846974
LBN Legal business name Ibrahim, Mona Rizk
Credentials DDS, MPH, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093846974 NPPES
Michigan MEDICAID 3191980

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