Individual
DR. HENRY L MASON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3420 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909
(321) 722-0155
Mailing address
3420 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909
(321) 722-0155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8914
FL
1223G0001X
General Practice Dentistry
8914
FL
1223G0001X
General Practice Dentistry
DN8914
FL
Other
Enumeration date
12/12/2006
Last updated
06/07/2018
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