NPI | 1215120068 |
---|---|
Doing Business As | MASON DENTAL |
Entity Type | Organization |
Authorized Contact | GRANT S MASON President 304-400-4835 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: WV WV3235) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2012-08-29 |