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Individual
DR. YOUIL MAMOOK
Active
Individual
DR. YOUIL MAMOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019023643
IL
1223G0001X
General Practice Dentistry
Primary
6072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019023643
DENTAL LISCENSE NUMBER
IL
01
—
6072
DENTAL LICENSE
AZ
Enumeration date
10/18/2005
Last updated
04/13/2009
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