| NPI | 1629240486 |
|---|---|
| Other Name | DR. BRENTON MASON |
| Entity Type | Organization |
| Authorized Contact | BRENTON M MASON President 505-821-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NM DD2155) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |