Individual
JARVITZ MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 HOVEY AVE, SAN GABRIEL, CA 91776-3207
(323) 439-0167
Mailing address
116 HOVEY AVE, SAN GABRIEL, CA 91776-3207
(323) 439-0167
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
96019
CA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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