Individual
DR. MASON LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 GIBSON BAY DR STE 202, RICHMOND, KY 40475-3544
(859) 625-0204
Mailing address
1312 GRAY HAWK RD APT B, LEXINGTON, KY 40502-7011
(859) 699-6935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10930
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
06/05/2024
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