Provider Demographics
NPI:1134789027
Name:AYOUBY, HARUN (DMD)
Entity type:Individual
Prefix:DR
First Name:HARUN
Middle Name:
Last Name:AYOUBY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3583 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-8480
Mailing Address - Country:US
Mailing Address - Phone:951-271-1940
Mailing Address - Fax:
Practice Address - Street 1:40760 CALIFORNIA OAKS RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5791
Practice Address - Country:US
Practice Address - Phone:951-677-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103777122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist