Organization
GRANT S. MASON, DDS, INC.
Active
Parent organization
GRANT S. MASON, DDS, INC
Other names
Mason Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANT S. MASON, DDS, INC
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
(681) 205-8939
Mailing address
3906 MACCORKLE AVE SE, CHARLESTON, WV 25304-1633
(304) 400-4835
(681) 205-8939
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3235
WV
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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