Individual
YANELIS MESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
(207) 773-3111
Mailing address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
(207) 773-3111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000395
VA
1223P0221X
Pediatric Dentistry
Primary
4939
ME
Other
Enumeration date
07/02/2020
Last updated
07/27/2022
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