DR. Edmond Shaun Mayatte, D.M.D.
NPI #1063505840 in Brandon, Mississippi
Provider Information
- NPI Number
- 1063505840
- Entity Type
- Individual
- Name
- DR. Edmond Shaun Mayatte, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22 EASTGATE DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2318
- Phone
- (601) 825-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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