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NPI 1255299368

IndividualActive

Ibrahim Idoh, DENTAL HYGIENE

NPI 1255299368 · Dental Assistant · Fort Polk, LA

Provider details

NPI number: 1255299368
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: DENTAL HYGIENE
Sex: Male
Sole proprietor: No

Practice location

7223 Mississippi Avenue

Bldg 1561

Fort Polk, LA 71459-7435

Phone: (726) 780-1451

More LA providers

Mailing address

7223 Mississippi Avenue

Fort Polk, LA 71459-7435

Registry dates

Enumerated: 2026-01-15
Last updated: 2026-01-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ibrahim Idoh, DENTAL HYGIENE — NPI 1255299368, Fort Polk, LA | NPI Central