MASON PLOTNER

BIRMINGHAM, AL
NPI1538863014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: IL  018.002272)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-28
Last Update Date2024-06-07
Business Address
MASON PLOTNER
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-4178
Mailing Address
MASON PLOTNER
2404 FIELDS SOUTH DR APT 204
CHAMPAIGN, IL 61822-3683
Phone number: