Individual
DR. MASON ROSS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1108 N MUSTANG RD, MUSTANG, OK 73064-7220
(405) 376-1027
Mailing address
PO BOX 1428, MUSTANG, OK 73064-8428
(405) 376-1027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7299
OK
Other
Enumeration date
06/02/2020
Last updated
06/29/2020
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