Individual
DR. TED O'DARE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 S ARMOUR ST, WICHITA, KS 67207-1011
(316) 685-5321
Mailing address
11700 E WILSHIRE TER, WICHITA, KS 67207-4342
(316) 685-2953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6289
KS
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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