Basic Information
| Provider Information | |||||||||
| NPI: | 1134789027 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AYOUBY | ||||||||
| FirstName: | HARUN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3583 HAWTHORNE DR | ||||||||
| Address2: | |||||||||
| City: | CORONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928818480 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512711940 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 40760 CALIFORNIA OAKS RD | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925625791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516773078 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2019 | ||||||||
| LastUpdateDate: | 06/13/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 103777 | CA | Y | Dental Providers | Dentist |
No ID Information.