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Dr. Sergio Ayala, DDS

Dentist, General Practice in Vista, CA. Individual provider (NPI-1).

NPI number1780916163
StatusActive
Last updated in NPPESDec 21, 2021

Details

NPI
1780916163
Entity type
Individual (NPI-1)
Name
Dr. Sergio Ayala
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Feb 9, 2010
Certification date
May 18, 2021
Last updated
Dec 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice58937CAYes

Practice location

706 Townsite Dr
Vista, CA 92084-4502

Phone 760-724-4392

Mailing address

964 Leslie Rd
El Cajon, CA 92020-6285

Phone 161-951-9361

Other practice locations

964 Leslie Rd
El Cajon, CA 92020-6285

Phone 161-951-9361

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