Mason And Mason Dentistry, PA
Dentist in Wichita, KS. Organization (NPI-2).
NPI number1629622352
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1629622352
- Entity type
- Organization (NPI-2)
- Legal business name
- Mason And Mason Dentistry, PA
- Organization subpart
- No
- Enumeration date
- Jul 31, 2019
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
201 S Towne East Mall Dr Ste 101Wichita, KS 67207-1068
Phone 316-685-5321 · Fax 316-651-5723
Mailing address
201 S Towne East Mall Dr Ste 101Wichita, KS 67207-1068
Phone 316-685-5321 · Fax 316-651-5723
Authorized official
Ted O Mason
Owner
3166855321
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