NPI 1336695535

Jacqueline D Massouda, DMD

Practitioner General Practice Dentistry Apo, AA

Practice location

Address: Jblm Dentac 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431
Phone: (502) 759-8448
Fax: (253) 968-5919
Mailing address: US Army Dentac: Attn Credentials Office 9900 Lincoln Street, 2nd Floor, Tacoma, WA 98327

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 9738 (KY)

Other Dentist providers in Armed Forces Americas →

Registry record

NPI: 1336695535
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2016
Record last updated: 28 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.