Provider Demographics
NPI:1902490196
Name:AYOUBY AND BEBING DENTAL GROUP
Entity Type:Organization
Organization Name:AYOUBY AND BEBING DENTAL GROUP
Other - Org Name:SIGNATURE SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOMEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:BEBING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:951-450-0258
Mailing Address - Street 1:14140 MERIDIAN PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92518-3043
Mailing Address - Country:US
Mailing Address - Phone:951-450-0258
Mailing Address - Fax:
Practice Address - Street 1:14140 MERIDIAN PKWY STE 102
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92518-3043
Practice Address - Country:US
Practice Address - Phone:951-777-2805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-27
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty