Provider Demographics
NPI:1467837682
Name:ALAYYOUBI, YASMIN
Entity Type:Individual
Prefix:DR
First Name:YASMIN
Middle Name:
Last Name:ALAYYOUBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2308
Mailing Address - Country:US
Mailing Address - Phone:857-445-5883
Mailing Address - Fax:
Practice Address - Street 1:120 MOUNTFORT ST
Practice Address - Street 2:#207
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-2903
Practice Address - Country:US
Practice Address - Phone:857-445-5883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist