Individual
MARY YOUSSEF- ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
550 FAIRVIEW RD, WOODLYN, PA 19094-1014
(610) 833-2660
Mailing address
1319 WILLOW CIR, ROSEVILLE, MN 55113-3235
(651) 230-9142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D14177
MN
1223G0001X
General Practice Dentistry
Primary
DS042633
PA
Other
Enumeration date
05/14/2019
Last updated
02/08/2022
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