Provider Demographics
NPI:1083448450
Name:CHIKH IBRAHIM, REEM (DMD)
Entity type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:CHIKH IBRAHIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 CALLE CRISTOBAL UNIT 36
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6060
Mailing Address - Country:US
Mailing Address - Phone:619-306-3954
Mailing Address - Fax:
Practice Address - Street 1:327 S RANCHO SANTA FE RD STE G
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2335
Practice Address - Country:US
Practice Address - Phone:760-744-3333
Practice Address - Fax:760-744-3001
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1103421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice