Provider Demographics
NPI:1083376792
Name:YOSIF, LLC
Entity Type:Organization
Organization Name:YOSIF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADIK-YOSIF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:678-366-1000
Mailing Address - Street 1:9950 JONES BRIDGE RD STE 700
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6577
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9950 JONES BRIDGE RD STE 700
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-6577
Practice Address - Country:US
Practice Address - Phone:678-366-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-10
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty