Individual
DR. YOUIL MAMOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 W BETHANY HOME RD, PHOENIX, AZ 85015-2471
(602) 249-9621
(602) 841-1916
Mailing address
2001 W BETHANY HOME RD, PHOENIX, AZ 85015-2471
(602) 249-9621
(602) 841-1916
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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