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Contact Information

IBRAHIM A AL MUTAWA, DDS
1730 SW WANAMAKER RD
TOPEKA, KS66604-3813
 Phone: 785-338-4048
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for IBRAHIM A AL MUTAWA · (Male)

NPI # 1033887856
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/06/2021
Last updated 09/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 61948
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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