Individual
DR. MICHAEL MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1456 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 984-1827
Mailing address
1456 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1161
NM
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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