Individual provider · Type 1 NPI

Kismet Mayo, DENTURIST

Denturist · Brookings, OR

NPI number 1053697201 Active

Practice location

1041 Chetco Ave
Brookings, OR 97415-7153

Mailing address

PO Box 6459
Brookings, OR 97415-0279

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XDT-DO-10131106 (OR)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1053697201

Kismet Mayo, DENTURIST's National Provider Identifier is 1053697201, issued on Nov 1, 2011. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Brookings, OR. The record was last updated on Nov 1, 2011.