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General NPI Number Information
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NPI Number | 1659163129
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Entity Type | Organization
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Legal Business Name | YOUSSEF DENTAL GROUP, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 3664 W SHAW AVE
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City | FRESNO
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State | CA
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Zip | 93711-3231
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Country | US
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Telephone | 559-277-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 1267 E GLENLAKE LN
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City | FRESNO
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State | CA
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Zip | 93730-3573
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Country | US
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Telephone | 559-708-0339
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MENA YOUSSEF
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Credential |
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Telephone | 559-708-0339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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