MAITE LESTAYO

AUGUSTA, GA
NPI1740029933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  DN29212)
Enumeration Date2024-05-20
Last Update Date2024-09-20
Business Address
MAITE LESTAYO DMD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-0211
Mailing Address
MAITE LESTAYO DMD
1056 TRINITY PL
NORTH AUGUSTA, SC 29860-8031
Phone number: 305-763-1404
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