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Organization
MATE DENTAL ASSOCIATES, INC
Active
Organization
MATE DENTAL ASSOCIATES, INC
Active
Other names
Shannon M. Mate, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M. MATE DMD (OWNER)
(904) 282-9371
Entity
Organization
Contact information
Practice address
4075 CR 218 WEST, MIDDLEBURG, FL 32068
(604) 282-9371
(904) 282-0905
Mailing address
4075 CR 218 WEST, MIDDLEBURG, FL 32068
(604) 282-9371
(904) 282-0905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN13093
FL
122300000X
Dentist
Primary
DN13458
FL
1223G0001X
General Practice Dentistry
DH0013458
FL
Other
Enumeration date
03/09/2007
Last updated
12/22/2009
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