Individual
KEMBRIA CHANTEL MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2310
(207) 910-3567
Mailing address
100 HEARD ST UNIT 355, CHELSEA, MA 02150-1965
(678) 478-5388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN5291
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2024
Last updated
07/17/2025
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