Individual
SHARON MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BAXTER RD, SUITE 2, CHESTERFIELD, MO 63017-7032
(636) 227-2237
Mailing address
510 BAXTER RD, SUITE 2, CHESTERFIELD, MO 63017-7032
(636) 227-2237
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015682
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710072882
NPI
MO
Enumeration date
10/06/2015
Last updated
10/06/2015
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