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Mrs. Kismet Mayo, DENTURIST
Denturist in Brookings, Oregon
NPI 1053697201

Kismet Mayo is a Denturist based in Brookings, OR. Kismet Mayo practices in Brookings, OR and has the professional credentials of DENTURIST. The NPI Number for Kismet Mayo is 1053697201 and holds a License No. DT-DO-10131106 (Oregon).

The current practice location address for Kismet Mayo is 1041 Chetco Ave, Brookings, OR and can be reached out via phone at 541-412-8000.

Location: 1041 Chetco Ave, Brookings, OR, 97415-0279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053697201
Provider Name
Kismet Mayo
Credential
DENTURIST
Provider Entity Type
Individual
Gender
Female
Address
1041 Chetco Ave, Brookings, OR, 97415-0279
Phone Number
541-412-8000
Fax Number
Provider Enumeration Date
11/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1041 Chetco Ave
City
Brookings
State
Oregon
Zip
97415-7153
Phone Number
541-412-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1041 Chetco Ave
City
Brookings
State
Oregon
Zip
97415-7153
Phone Number
541-412-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DT-DO-10131106 (Oregon)
Definition
Definition to come.
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