Organization
MY DENTAL L.L.C.
Active
Other names
MY DENTAL L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUIL G. MAMOOK D.D.S. (DR./OWNER)
(480) 388-7049
Entity
Organization
Contact information
Practice address
725 N CENTRAL AVE STE 109, AVONDALE, AZ 85323-1659
(623) 322-4575
(623) 322-4312
Mailing address
2001 W BETHANY HOME RD, PHOENIX, AZ 85015-2471
(602) 249-9621
(602) 841-1916
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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