Grant S Mason DDS INC

NPI #1215120068 in Charleston, West Virginia

Provider Information

NPI Number: 1215120068
Entity Type: Organization
Organization Name: Grant S Mason DDS INC
Subpart: Yes (part of a larger organization)
Parent Organization: GRANT S MASON
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2007
Last Updated: Aug 29, 2012

Practice Location

Address: 3906 MACCORKLE AVE SE
City: Charleston
State: West Virginia
ZIP Code: 25304-1633
Phone: (304) 400-4835

Authorized Official

Name: DR. GRANT S MASON, DDS
Title: PRESIDENT
Phone: (304) 400-4835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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