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Individual

DR. MASON DALE BORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.D.

Contact information

Practice address
7859 WALNUT HILL LN STE 275, DALLAS, TX 75230-5642
(214) 361-4528
(214) 361-4560
Mailing address
7859 WALNUT HILL LN STE 275, DALLAS, TX 75230-5642
(214) 361-4528
(214) 361-4560

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33858
TX

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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