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Individual

MASON JOHN LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4070 STANLEY RD STE 401, SAN ANTONIO, TX 78234-2714
(406) 475-5168
Mailing address
4070 STANLEY RD STE 401, SAN ANTONIO, TX 78234-2714
(406) 475-5168

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
TX

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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