Mason Dental Group PC

NPI #1104993484 in Mason, Michigan

Provider Information

NPI Number: 1104993484
Entity Type: Organization
Organization Name: Mason Dental Group PC
Primary Specialty: Dentist
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 782 E COLUMBIA STREET
City: Mason
State: Michigan
ZIP Code: 48854-1356
Phone: (517) 676-1091

Authorized Official

Name: TAMARA LYNN BAUER MONDRAGON, DDS
Title: PRESIDENT OWNER
Phone: (517) 676-1091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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