DEREK DESHAN MASON

HIRAM, GA
NPI1679566475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: GA  DN012710)
Enumeration Date2005-08-26
Last Update Date2012-10-16
Business Address
Dr. DEREK DESHAN MASON DDS
126 ENTERPRISE PATH
HIRAM, GA 30141-2656
Phone number: 770-439-2550
Mailing Address
Dr. DEREK DESHAN MASON DDS
126 ENTERPRISE PATH SUITE #106
HIRAM, GA 30141
Phone number: 770-832-1376
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