Individual
MARIA AUGUSTA YEPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2555
(631) 924-7997
Mailing address
770 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2555
(631) 924-7997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064756
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2024
Last updated
08/12/2025
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