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1679566475
DEREK DESHAN MASON
HIRAM, GA
NPI
1679566475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: GA DN012710)
Enumeration Date
2005-08-26
Last Update Date
2012-10-16
Business Address
DR. DEREK DESHAN MASON DDS
126 ENTERPRISE PATH
HIRAM, GA 30141-2656
Phone number: 770-439-2550
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Mailing Address
DR. DEREK DESHAN MASON DDS
126 ENTERPRISE PATH SUITE #106
HIRAM, GA 30141
Phone number: 770-832-1376
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