Individual provider · NPI-1

Dr. Hisham S Ayoub, DMD

Dentist, General Practice · Plantation, FL

NPI number1629245295
StatusActive
Last updated in NPPESMay 13, 2008

Details

NPI
1629245295
Entity type
Individual (NPI-1)
Name
Dr. Hisham S Ayoub
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2008
Last updated
May 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN17640FLYes

Practice location

111 N Pine Island Rd
Ste 101
Plantation, FL 33324-1836

Phone 954-473-6500

Mailing address

500 Woodgate Cir
Sunrise, FL 33326-2137

Phone 954-647-8272

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