Organization
ALEXANDRA AYOUB, DDS., A PROFESSIONAL CORPORATION
Active
Other names
Fontana Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA AYOUB DDS (PRESIDENT)
(909) 829-9324
Entity
Organization
Contact information
Practice address
8110 MANGO AVE, SUITE 101, FONTANA, CA 92335-3603
(909) 829-9324
(909) 829-9324
Mailing address
8110 MANGO AVE, SUITE 101, FONTANA, CA 92335-3603
(909) 829-9324
(909) 829-9324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50564
CA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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