Individual
AYUB ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9877
Mailing address
5940 FAIRVIEW RD, SUITE# 103, CHARLOTTE, NC 28210-3125
(704) 494-7990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10449
NC
Other
Enumeration date
05/21/2015
Last updated
08/17/2016
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