NPI 1225498421

Ayoub Dental Corporation

Organisation Preferred Provider Organization Huntington Beach, CA

Practice location

Address: 18800 Main St 203, Huntington Beach, CA 92648-1707
Phone: (714) 848-2277
Fax: (714) 842-6519

Authorised official

Name: Wissam Ayoub
Title: Dentist
Phone: (714) 848-2277

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 55496 (CA)

Other Preferred Provider Organization providers in California →

Dental Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD0000X

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Registry record

NPI: 1225498421
Entity type: Organization
NPI issued: 1 Mar 2016
Record last updated: 9 Sep 2020

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.