Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 054309-1 | NY |
Y | 1223P0221X | Pediatric Dentist | 50321 | CA |
NPI | 1073751152 |
---|---|
Provider Name | Dr. Ayman Metwally |
First Address | Campbell, CA 95008 |
Second Address | Sunnyvale, CA 94086-5319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2009 |
Last Update Date | 30/12/2013 |