Organization
T. KEATON MASH, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS K MASH DMD (MANAGING DENTIST)
(828) 406-5728
Entity
Organization
Contact information
Practice address
122 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4218
(336) 667-4143
Mailing address
500 COX RD, JEFFERSON, NC 28640-9155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/06/2018
Last updated
06/06/2018
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