# MASON AND MASON DENTISTRY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629622352
- **Authorized official:** DR. TED O MASON DDS (OWNER)
- **Authorized official phone:** (316) 685-5321

## Contact information

- **Practice address:** 201 S TOWNE EAST MALL DR STE 101, WICHITA, KS 67207-1068
- **Practice address phone:** (316) 685-5321
- **Practice address fax:** (316) 651-5723
- **Mailing address:** 201 S TOWNE EAST MALL DR STE 101, WICHITA, KS 67207-1068
- **Mailing address phone:** (316) 685-5321
- **Mailing address fax:** (316) 651-5723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/31/2019
