Organization
JONATHAN E MASON DMD PC
Active
Parent organization
JONATHAN E MASON DMD PC
Other names
Family Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
JONATHAN E MASON DMD PC
Authorized official
VICTORIA ANNE JOHNSON (VP RCM)
(919) 749-8482
Entity
Organization
Contact information
Practice address
4 GENERAL WING RD, RUTLAND, VT 05701-4682
(802) 775-0819
Mailing address
4 GENERAL WING RD, RUTLAND, VT 05701-4682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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