Individual
DR. AYALA RUBY OUANOUNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1732 S BROAD ST, PHILADELPHIA, PA 19145-2330
(215) 336-8391
Mailing address
66 W PRINCETON RD, BALA CYNWYD, PA 19004-2512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044279
PA
Other
Enumeration date
12/13/2023
Last updated
10/01/2024
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