Jarvitz Mason
Dental Assistant in San Gabriel, CA. Individual provider (NPI-1).
NPI number1275123788
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1275123788
- Entity type
- Individual (NPI-1)
- Name
- Jarvitz Mason
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | 96019 | CA | Yes |
Other names
- Jarvitz Mason (Other Name)
Practice location
116 Hovey AveSan Gabriel, CA 91776-3207
Phone 323-439-0167
Mailing address
116 Hovey AveSan Gabriel, CA 91776-3207
Phone 323-439-0167
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