Individual
JANE MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 KARLEY PL, YORKTOWN, VA 23692-5716
(757) 775-6253
Mailing address
107 KARLEY PL, YORKTOWN, VA 23692-5716
(757) 775-6253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414947
VA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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