| NPI | 1407060270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID MASON Dentist 304-424-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2260) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |