Provider Demographics
NPI:1972338176
Name:ALHABCHA, AYAH
Entity type:Individual
Prefix:
First Name:AYAH
Middle Name:
Last Name:ALHABCHA
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 1:8613 CHAPARRAL WAY
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2072
Mailing Address - Country:US
Mailing Address - Phone:619-274-4641
Mailing Address - Fax:
Practice Address - Street 1:8613 CHAPARRAL WAY
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2072
Practice Address - Country:US
Practice Address - Phone:619-274-4641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110656122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist