| NPI | 1700052255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON TAYLOR MASON President 210-822-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12463) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-07-09 |