Provider Demographics
NPI:1558575399
Name:YOUSEFIAN, JOSEPH Z (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:Z
Last Name:YOUSEFIAN
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 1:14929 SE ALLEN RD
Mailing Address - Street 2:SUITE 202-A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1639
Mailing Address - Country:US
Mailing Address - Phone:206-232-1653
Mailing Address - Fax:
Practice Address - Street 1:14929 SE ALLEN RD
Practice Address - Street 2:SUITE 202-A
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1639
Practice Address - Country:US
Practice Address - Phone:425-562-2921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA66881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics