| Mason Dental Group Pc | |
|
782 E Columbia Street Mason MI 48854-1356 | |
| (517) 676-1091 | |
| (517) 676-4954 |
| Full Name | Mason Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 782 E Columbia Street, Mason, Michigan |
| Authorized Official Name and Position | Tamara Lynn Bauer Mondragon (PRESIDENT OWNER) |
| Authorized Official Contact | 5176761091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Dental Group Pc 782 E Columbia Street Mason MI 48854-1356 Ph: (517) 676-1091 | Mason Dental Group Pc 782 E Columbia Street Mason MI 48854-1356 Ph: (517) 676-1091 |
| NPI Number | 1104993484 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104993484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901015785 (Michigan) | Primary |
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