Individual
DR. GEORGE RAYMOND AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
521 W THOMAS RD, FIRST FLOOR, PHOENIX, AZ 85013-4240
(602) 307-5775
Mailing address
521 W THOMAS RD, FIRST FLOOR, PHOENIX, AZ 85013-4240
(602) 307-5775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#001696388
UCCI
AZ
01
—
951500
AHCCCS
AZ
Enumeration date
05/18/2006
Last updated
06/13/2014
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