Individual
ALYSIA MEGAN MASCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8265 VILLAGE PKWY STE A, DUBLIN, CA 94568-1254
(925) 833-0500
Mailing address
8265 VILLAGE PKWY STE A, DUBLIN, CA 94568-1254
(925) 833-0500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106764
CA
122300000X
Dentist
12919
CT
Other
Enumeration date
12/02/2020
Last updated
08/03/2021
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