MEDICARE: M VIRK DMD & N YOUSSEF DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		WA

General Provider Information

NPI Number	:	1497938740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M VIRK DMD & N YOUSSEF DDS

Provider Business Mailing Address
First Line	:	3402 173RD PL NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8497
Country	:	US
Telephone Number	:	360-659-8777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3402 173RD PL NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8497
Country	:	US
Telephone Number	:	360-659-8777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NAGUIB YOUSSEF
Credential	:	DDS
Telephone Number	:	360-659-8777

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	12/10/2007

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