MEDICARE: CHRISTINA P. MASON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	34634	CA

General Provider Information

NPI Number	:	1467576652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA P. MASON D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 550
Second Line	:
City	:	CLAYTON
State	:	CA
Zip	:	94517-0550
Country	:	US
Telephone Number	:	925-672-7355
Fax Number	:

Provider Business Practice Location Address
First Line	:	5433 CLAYTON RD
Second Line	:	SUITE J
City	:	CLAYTON
State	:	CA
Zip	:	94517-1089
Country	:	US
Telephone Number	:	925-672-1559
Fax Number	:	925-672-1575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

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