Individual
DR. CHARLES W MASON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34 BRUYER WAY, KALISPELL, MT 59901-6305
(406) 752-8686
(406) 752-9473
Mailing address
34 BRUYER WAY, KALISPELL, MT 59901-6305
(406) 752-8686
(406) 752-9473
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1941
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112866
—
MT
Enumeration date
09/14/2006
Last updated
02/12/2008
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