Organization
DRS. MASON & MASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MASON (GENERAL PARTNER)
(217) 792-5060
Entity
Organization
Contact information
Practice address
117 N LAFAYETTE ST, MOUNT PULASKI, IL 62548-1263
(217) 792-5060
Mailing address
117 N LAFAYETTE ST, MOUNT PULASKI, IL 62548-1263
(217) 792-5060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101290
—
IL
Enumeration date
01/29/2007
Last updated
08/22/2020
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