Individual
SALLY AYOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2300 HWY 94 S OUTER RD, SAINT CHARLES, MO 63303-8301
(618) 606-4650
Mailing address
2300 HWY 94 S OUTER RD, SAINT CHARLES, MO 63303-8301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022021935
MO
Other
Enumeration date
07/23/2021
Last updated
06/23/2024
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