Organization
GRANT S MASON DDS INC
Active
Parent organization
GRANT S MASON
Other names
Mason Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANT S MASON
Authorized official
DR. GRANT S MASON DDS (PRESIDENT)
(304) 400-4835
Entity
Organization
Contact information
Practice address
3906 MACCORKLE AVE SE, CHARLESTON, WV 25304-1633
(304) 400-4835
(304) 681-2058
Mailing address
3906 MACCORKLE AVE SE, CHARLESTON, WV 25304-1633
(304) 400-4835
(304) 681-2058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV3235
WV
Other
Enumeration date
08/24/2007
Last updated
08/29/2012
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