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Contact Information

AYOUB DENTAL CORPORATION
18800 MAIN ST
203
HUNTINGTON BEACH, CA92648-1707
 Phone: 714-848-2277
 Fax: 714-842-6519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for AYOUB DENTAL CORPORATION

NPI # 1225498421
LBN Legal business name AYOUB DENTAL CORPORATION
Authorized official WISSAM AYOUB - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2016
Last updated 09/09/2020 - About 6 years ago
Identifiers
CA License # 55496
CA Medicaid 16039600047
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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