| Mate Dental Associates, Inc | |
|
4075 Cr 218 West Middleburg FL 32068 | |
| (604) 282-9371 | |
| (904) 282-0905 |
| Full Name | Mate Dental Associates, Inc |
|---|---|
| Speciality | Dentist |
| Location | 4075 Cr 218 West, Middleburg, Florida |
| Authorized Official Name and Position | Shannon M. Mate (OWNER) |
| Authorized Official Contact | 9042829371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mate Dental Associates, Inc 4075 Cr 218 West Middleburg FL 32068 Ph: (604) 282-9371 | Mate Dental Associates, Inc 4075 Cr 218 West Middleburg FL 32068 Ph: (604) 282-9371 |
| NPI Number | 1437280385 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437280385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13458 (Florida) | Primary |
| 122300000X | Dentist | DN13093 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DH0013458 (Florida) | Secondary |
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