Individual
DR. KYLE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
117 N LAFAYETTE ST, MOUNT PULASKI, IL 62548-1263
(217) 792-5060
(217) 792-5047
Mailing address
117 N LAFAYETTE ST, MOUNT PULASKI, IL 62548-1263
(217) 792-5060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031737
IL
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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