Organization
CARLE W. MASON DDS PA
Active
Other names
C.W.Mason DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLE WOODRUFF MASON JR. DDS (PRESIDENT)
(252) 291-6313
Entity
Organization
Contact information
Practice address
603 NASH ST W, WILSON, NC 27893-3059
(252) 291-6313
(252) 291-0391
Mailing address
603 NASH ST W, WILSON, NC 27893-3059
(252) 291-6313
(252) 291-0391
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995485
—
NC
Enumeration date
10/17/2006
Last updated
08/13/2007
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