Individual
DR. ALI AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8412 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4265
(201) 758-7834
Mailing address
1600 78TH ST, NORTH BERGEN, NJ 07047-4127
(201) 595-9759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02716400
NJ
Other
Enumeration date
05/30/2017
Last updated
02/04/2020
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