Organization
MASON DENTAL HYGIENE GROUP
Active
Other names
Mason Dental Hygiene Group
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN MASON RDHAP (PRESIDENT)
(602) 299-0584
Entity
Organization
Contact information
Practice address
30168 POINT MARINA DR, CANYON LAKE, CA 92587-7411
(602) 299-0584
Mailing address
30168 POINT MARINA DR, CANYON LAKE, CA 92587-7411
(602) 299-0584
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP622
CA
Other
Enumeration date
08/01/2018
Last updated
05/21/2020
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