Organization
MASON'S ENHANCE YOUR SMILE DENTAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN MASON DDS (OWNER)
(240) 493-6030
Entity
Organization
Contact information
Practice address
5448 SAINT BARNABAS RD, OXON HILL, MD 20745-3622
(240) 493-6030
(240) 493-7528
Mailing address
1580 SPRING GATE DR UNIT 4414, MC LEAN, VA 22102-3447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089458024
—
DC
05
—
585076200
—
MD
Enumeration date
10/05/2020
Last updated
10/05/2020
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