Provider / Organization | NPI | Date Certified |
---|---|---|
MASON A BAHADOR | 1174188692 | 2019-05-09 |
Mason A Bahador is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174188692. Registration indicates Mason A Bahador is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Dr. Mason A Bahador DDS |
Practice Office Address | 4380 BUCKEYE LN STE 218 BEAVERCREEK, OH US |
Practice Office Telephone | 9379120101 |
Mailing Address | 4380 BUCKEYE LN STE 218 BEAVERCREEK, OH 454407310 US |
Business Telephone | 9379120101 |
Code | Practice | License No State |
---|---|---|
122300000X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 16883
MD |
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 30.025721
OH |