Organization
MASON O MINER DDS LLC
Active
Parent organization
MASON O MINER DDS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASON O MINER DDS LLC
Authorized official
DR. MASON MINER DDS (DENTIST/OWNER)
(970) 247-2677
Entity
Organization
Contact information
Practice address
72 SUTTLE ST, STE H, DURANGO, CO 81303
(970) 247-2677
(970) 382-9581
Mailing address
72 SUTTLE ST, STE H, DURANGO, CO 81303
(970) 247-2677
(970) 382-9581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8689
CO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2005
Last updated
10/02/2019
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