EDMOND SHAUN MAYATTE

BRANDON, MS
NPI1063505840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  3156-00)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Dr. EDMOND SHAUN MAYATTE D.M.D.
22 EASTGATE DR
BRANDON, MS 39042-2318
Phone number: 601-825-1105
Mailing Address
Dr. EDMOND SHAUN MAYATTE D.M.D.
22 EASTGATE DR
BRANDON, MS 39042-2318
Phone number: 601-825-1105
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