NPI 1396537221

Ibraheem Maita

Practitioner Student in an Organized Health Care Education/Training Program Hazel Park, MI

Practice location

Address: 22241 John R Rd Childrens Dental Specialists, Hazel Park, MI 48030
Phone: (248) 336-0356

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Michigan →

Registry record

NPI: 1396537221
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.