Provider Demographics
NPI:1568251676
Name:AYAD, MONEKA AMGED MONER (DMD)
Entity type:Individual
Prefix:
First Name:MONEKA
Middle Name:AMGED MONER
Last Name:AYAD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MONEKA
Other - Middle Name:AMGED MONER
Other - Last Name:ERIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13075 WINTERPARK WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-4514
Mailing Address - Country:US
Mailing Address - Phone:908-627-5135
Mailing Address - Fax:
Practice Address - Street 1:1303 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3196
Practice Address - Country:US
Practice Address - Phone:951-278-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist