Most Relevant Information
Provider Data
| NPI Number: | 1003378779 |
| Provider Name: | YOUSEF ODEH JEFFERSON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 22569 |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 04/02/2019 |
Provider Practice Location
2953 BROAD AVE
MEMPHIS
TN
381122957
Practice Location Phone/Fax
| Phone: | 9018423171 |
| Fax: |
Provider Mailing Location
3461 MAINER ST
HOUSTON
TX
770215533
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |