Organization
J MASON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ELIZABETH FAETH (OFFICE MANAGER)
(502) 636-5492
Entity
Organization
Contact information
Practice address
1504 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 636-5492
(502) 636-9210
Mailing address
1504 S 7TH ST, LOUISVILLE, KY 40208-1711
(502) 636-5492
(502) 636-9210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/11/2005
Last updated
01/03/2011
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