Individual
DR. WAYNE W MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 N MILWAUKEE AVE, STE C, LIBERTYVILLE, IL 60048-1973
(847) 680-3090
Mailing address
915 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1973
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19A-13406
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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