Provider Demographics
NPI:1215926613
Name:MAMOOK, YOUIL (DDS)
Entity type:Individual
Prefix:DR
First Name:YOUIL
Middle Name:
Last Name:MAMOOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W BETHANY HOME RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2471
Mailing Address - Country:US
Mailing Address - Phone:602-249-9621
Mailing Address - Fax:602-841-1916
Practice Address - Street 1:2001 W BETHANY HOME RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2471
Practice Address - Country:US
Practice Address - Phone:602-249-9621
Practice Address - Fax:602-841-1916
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190236431223G0001X
AZ60721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019023643OtherDENTAL LISCENSE NUMBER
AZ6072OtherDENTAL LICENSE
AZ6072OtherDENTAL LICENSE
IL019023643OtherDENTAL LISCENSE NUMBER
AZ6072OtherDENTAL LICENSE