Organization
MASON DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA LYNN BAUER MONDRAGON DDS (PRESIDENT OWNER)
(517) 676-1091
Entity
Organization
Contact information
Practice address
782 E COLUMBIA STREET, MASON, MI 48854-1356
(517) 676-1091
(517) 676-4954
Mailing address
782 E COLUMBIA STREET, MASON, MI 48854-1356
(517) 676-1091
(517) 676-4954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015785
MI
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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