MEDICARE: DR. YUSEL MESA ESTEVEZ D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 19438	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265720684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUSEL MESA ESTEVEZ D.M.D.

Provider Business Mailing Address
First Line	:	22065 MARTELLA AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-4659
Country	:	US
Telephone Number	:	786-344-9121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2763 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2137
Country	:	US
Telephone Number	:	561-429-4645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	01/27/2017

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