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Individual
JOHN ISAAC MASON JR.
Active
Individual
JOHN ISAAC MASON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12009647
IN
122300000X
Dentist
Primary
6309
KY
Other
Enumeration date
10/12/2005
Last updated
01/03/2011
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