Organization
AYOUTY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADINE AYOUTY DMD (OWNER DENTIST)
(619) 437-0335
Entity
Organization
Contact information
Practice address
1111 9TH ST STE 203, CORONADO, CA 92118-2654
(619) 437-0335
Mailing address
1111 9TH ST STE 203, CORONADO, CA 92118-2654
(619) 437-0335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DDS106103
DL
CA
Enumeration date
12/02/2025
Last updated
12/02/2025
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