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DR. NOEL AYALA

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1154977700

Individual Registrant:
DR. NOEL  AYALA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
18313 BEAR VALLEY RD  HESPERIA, CA 92345-4970 US
Tel: 760-949-2241  Fax: --

Contact information for business:
47615 CORTA HERRERA  INDIO, CA 92201-6877 US
Tel: 760-702-2160  Fax: --

Registration Information:
NPI: 1154977700
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA104137

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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