Individual
MASON ANDREW DEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
814 W GORE BLVD, LAWTON, OK 73501-3719
(580) 357-4946
Mailing address
814 W GORE BLVD, LAWTON, OK 73501-3719
(580) 357-4946
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
220
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6693
OK
390200000X
Student in an Organized Health Care Education/Training Program
RES-30446
IA
Other
Enumeration date
05/13/2015
Last updated
11/15/2017
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