=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497938740
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | M VIRK DMD & N YOUSSEF DDS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2007
-----------------------------------------------------
Last Update Date | 12/10/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3402 173RD PL NE
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98223-8497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-659-8777
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3402 173RD PL NE
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98223-8497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-659-8777
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. NAGUIB YOUSSEF
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 360-659-8777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------