Provider First Line Business Practice Location Address:
MASON DENTAL CENTER
Provider Second Line Business Practice Location Address:
4455 HARRY WURZBACH
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-822-4664
Provider Business Practice Location Address Fax Number:
210-822-4878
Provider Enumeration Date:
02/27/2006