Johnny Mason JR., D.D.S.

NPI #1184023210 in Diboll, Texas

Provider Information

NPI Number: 1184023210
Entity Type: Individual
Name: Johnny Mason JR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 1502 S 1ST ST
City: Diboll
State: Texas
ZIP Code: 75941-9668
Phone: (936) 829-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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