Provider Demographics
NPI:1467576652
Name:MASON, CHRISTINA P (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:P
Last Name:MASON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-0550
Mailing Address - Country:US
Mailing Address - Phone:925-672-7355
Mailing Address - Fax:
Practice Address - Street 1:5433 CLAYTON RD
Practice Address - Street 2:SUITE J
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1089
Practice Address - Country:US
Practice Address - Phone:925-672-1559
Practice Address - Fax:925-672-1575
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA346341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice