Edmond Shaun Mayatte D.M.D.

NPI 1063505840 - Dentist - 1223G0001X

NPI Details
NPI 1063505840
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
22 EASTGATE DR
BRANDON MS, 39042-2318, US
Phone (601) 825-1105
Fax (601) 825-1984
Business Location
22 EASTGATE DR
BRANDON MS, 39042-2318, US
Phone (601) 825-1105
Fax (601) 825-1984
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number 3156-00
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According to our database, Dr. Edmond Shaun Mayatte D.M.D. NPI is 1063505840, taxonomy code is 1223G0001X and license number is 3156-00, license state is located at Mississippi. Edmond Shaun Mayatte D.M.D. physically located at 22 Eastgate Dr, Brandon MS, 39042-2318. NPI Number Edmond Shaun Mayatte D.M.D. has the Individual type.

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1063505840 NPI number is provided on an as is basis without warranty of any kind. 1063505840 is maintained by the National Plan & Provider Enumeration System. The contents of Edmond Shaun Mayatte D.M.D. are for informational purposes only.