Individual
MASON WILLIAM MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
2402 COLLEGE HILLS BLVD. BUILDING 1, BUILDING 1, SAN ANGELO, TX 76904
(325) 949-2824
Mailing address
2402 COLLEGE HILLS BLVD. BUILDING 1, BUILDING 1, SAN ANGELO, TX 76904
(325) 949-2824
(325) 959-0383
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29713
TX
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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