# ALEXANDRA AYOUB, DDS., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fontana Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508011123
- **Authorized official:** DR. ALEXANDRA AYOUB DDS (PRESIDENT)
- **Authorized official phone:** (909) 829-9324

## Contact information

- **Practice address:** 8110 MANGO AVE, SUITE 101, FONTANA, CA 92335-3603
- **Practice address phone:** (909) 829-9324
- **Practice address fax:** (909) 829-9324
- **Mailing address:** 8110 MANGO AVE, SUITE 101, FONTANA, CA 92335-3603
- **Mailing address phone:** (909) 829-9324
- **Mailing address fax:** (909) 829-9324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 50564 | CA | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 11/24/2008