Individual
MASON CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 WILLOW LN, MCDONOUGH, MCDONOUGH, GA 30253
(470) 491-6730
Mailing address
1160 HAMMOND DR, ATLANTA, GA 30328-5473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122549
GA
Other
Enumeration date
03/15/2023
Last updated
05/11/2023
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