Individual
DR. DEREK DESHAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 ENTERPRISE PATH, HIRAM, GA 30141-2656
(770) 439-2550
(770) 439-2141
Mailing address
126 ENTERPRISE PATH, SUITE #106, HIRAM, GA 30141
(770) 832-1376
(770) 832-1487
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012710
GA
Other
Enumeration date
08/26/2005
Last updated
10/16/2012
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