Provider Demographics
NPI:1972126761
Name:VALDES TORRES, YENISEY (DMD)
Entity Type:Individual
Prefix:
First Name:YENISEY
Middle Name:
Last Name:VALDES TORRES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 S TALBOT ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ST MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-2605
Mailing Address - Country:US
Mailing Address - Phone:410-745-0200
Mailing Address - Fax:833-916-1010
Practice Address - Street 1:933 S TALBOT ST STE 4
Practice Address - Street 2:
Practice Address - City:ST MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-2605
Practice Address - Country:US
Practice Address - Phone:410-745-0200
Practice Address - Fax:339-161-0108
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLL865122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist