Individual
IRFAN YUSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N LAVENTURE RD, MOUNT VERNON, WA 98273-2766
(360) 542-8901
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60478709
WA
1223G0001X
General Practice Dentistry
DE60478709
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012821
—
WA
Enumeration date
07/10/2014
Last updated
04/22/2025
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