| Alexandra Ayoub, Dds., A Professional Corporation | |
|
8110 Mango Ave Suite 101 Fontana CA 92335-3603 | |
| (909) 829-9324 | |
| (909) 829-9324 |
| Full Name | Alexandra Ayoub, Dds., A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8110 Mango Ave, Fontana, California |
| Authorized Official Name and Position | Alexandra Ayoub (PRESIDENT) |
| Authorized Official Contact | 9098299324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Ayoub, Dds., A Professional Corporation 8110 Mango Ave Suite 101 Fontana CA 92335-3603 Ph: (909) 829-9324 | Alexandra Ayoub, Dds., A Professional Corporation 8110 Mango Ave Suite 101 Fontana CA 92335-3603 Ph: (909) 829-9324 |
| NPI Number | 1508011123 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508011123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50564 (California) | Primary |
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