Individual provider · Type 1 NPI

Maite Lestayo, DMD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1740029933 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Call (706) 721-0211 Map

Mailing address

1056 Trinity Pl
North Augusta, SC 29860-8031

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XDN123620 (GA)
Student in an Organized Health Care Education/Training Program 390200000XDGD.10958 (SC)
Student in an Organized Health Care Education/Training Program Primary 390200000XDN29212 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740029933

Maite Lestayo, DMD's National Provider Identifier is 1740029933, issued on May 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Oct 10, 2024.