NPI 1053697201

Kismet Mayo, DENTURIST

Practitioner Denturist Brookings, OR

Practice location

Address: 1041 Chetco Ave, Brookings, OR 97415-7153
Phone: (541) 412-8000
Mailing address: PO Box 6459, Brookings, OR 97415-0279

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10131106 (OR)

Other Denturist providers in Oregon →

Registry record

NPI: 1053697201
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2011
Record last updated: 1 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.