Mary Kate Pace, RDH
Dental Hygienist in Shalimar, FL. Individual provider (NPI-1).
NPI number1164037453
StatusActive
Last updated in NPPESSep 13, 2020
Details
- NPI
- 1164037453
- Entity type
- Individual (NPI-1)
- Name
- Mary Kate Pace
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2020
- Certification date
- Sep 13, 2020
- Last updated
- Sep 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH18814 | FL | Yes |
Practice location
1115 N Eglin PkwyShalimar, FL 32579-1228
Phone 850-651-2199
Mailing address
2291 Harlan AveFort Walton Beach, FL 32547-7301
Phone 850-543-5529
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