| Marlize Atallah Ayoub Dds Inc. | |
|
8201 Newman Ave Ste 302 Huntington Beach CA 92647-7058 | |
| (714) 848-0910 | |
| Not Available |
| Full Name | Marlize Atallah Ayoub Dds Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8201 Newman Ave Ste 302, Huntington Beach, California |
| Authorized Official Name and Position | Marlize Ayoub (DENTIST/ OFFICE MANAGER) |
| Authorized Official Contact | 7148480910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlize Atallah Ayoub Dds Inc. 8201 Newman Ave Ste 302 Huntington Beach CA 92647-7058 Ph: (714) 848-0910 | Marlize Atallah Ayoub Dds Inc. 8201 Newman Ave Ste 302 Huntington Beach CA 92647-7058 Ph: (714) 848-0910 |
| NPI Number | 1881005023 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 9830577014 |
|---|---|
| Medicare Enrollment ID | O20230206000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881005023 | NPI | - | NPPES |
| 14073600034 | Other | CA | PENDING MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 57890 (California) | Primary |
| Provider Name | Marlize A Ayoub |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063637700 PECOS PAC ID: 6103123054 Enrollment ID: I20230206000116 |
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