Individual
BRENTON MATTHEW MASON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7007 WYOMING BLVD NE, STE B-2, ALBUQUERQUE, NM 87109-3987
(505) 237-0222
(505) 821-1442
Mailing address
7007 WYOMING BLVD NE, STE B-2, ALBUQUERQUE, NM 87109-3987
(505) 237-0222
(505) 821-1941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2155
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15740
—
NM
Enumeration date
10/17/2005
Last updated
07/08/2007
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