Individual
MARY KATE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1115 N EGLIN PKWY, SHALIMAR, FL 32579-1228
(850) 651-2199
Mailing address
2291 HARLAN AVE, FORT WALTON BEACH, FL 32547-7301
(850) 543-5529
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH18814
FL
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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