Mason, Andrea Marie

Mason, Andrea Marie is an individual health care provider with primary practice located at 4528 Maple Ln Se # 201 , Olympia WA 98501-8638. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Mason, Andrea Marie can be contacted via phone (360) 352-3515.

Contact Information

Primary practice address
4528 Maple Ln Se # 201 Olympia WA 98501-8638
Phone: (360) 352-3515
Fax: (360) 352-0158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE60284724 Washington

Profile Details

NPI number 1851655575
LBN Legal business name Mason, Andrea Marie
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Oct 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851655575 NPPES
Washington MEDICAID 1053654525

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