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Organization

SCOTT MASON DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT C MASON DDS (POPRIETOR, OWNER, OPERATOR)
(417) 683-3636
Entity
Organization

Contact information

Practice address
132 W WASHINGTON, BOX 1058, AVA, MO 65608
(417) 683-3636
(417) 683-6118
Mailing address
132 W WASHINGTON, PO BOX 1058, AVA, MO 65608
(417) 683-3636
(417) 683-6118

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013438
MO

Other

Enumeration date
05/11/2007
Last updated
08/05/2008
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