Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 29057 | TX |
N | 1223P0221X | Pediatric Dentist | 29057 | TX |
NPI | 1871915058 |
---|---|
Provider Name | Dr. Noora Ayyash |
First Address | Arlington, TX 76016-5601 |
Second Address | Arlington, TX 76016-5601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2014 |
Last Update Date | 04/10/2020 |