Individual
MS. PAMELLA OPAL MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1510 VICTORY BLVD, PORTSMOUTH, VA 23702-3121
(757) 445-6338
Mailing address
USS NASSAU (LHA-4), DENTAL, FPO AE, VA 09557-1615
(757) 445-6338
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402203737
VA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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