Provider Demographics
NPI:1801209812
Name:GUL, YOUSAF (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOUSAF
Middle Name:
Last Name:GUL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 LINTON BLVD STE 8A
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6501
Mailing Address - Country:US
Mailing Address - Phone:561-495-0096
Mailing Address - Fax:
Practice Address - Street 1:4801 LINTON BLVD STE 8A
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-495-0096
Practice Address - Fax:561-495-2221
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20655122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist