Provider Demographics
NPI:1902272701
Name:M N AYYUBI DDS INC
Entity Type:Organization
Organization Name:M N AYYUBI DDS INC
Other - Org Name:ACCORD DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:NAVEED
Authorized Official - Last Name:AYYUBI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-361-5560
Mailing Address - Street 1:4120 DALE RD
Mailing Address - Street 2:SUITE J6
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9232
Mailing Address - Country:US
Mailing Address - Phone:917-361-5560
Mailing Address - Fax:
Practice Address - Street 1:4120 DALE RD
Practice Address - Street 2:SUITE J6
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9232
Practice Address - Country:US
Practice Address - Phone:917-361-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-15
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3806087261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental