MEDICARE: DR. ANN BARBARA MONASKY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS031064L	PA

General Provider Information

NPI Number	:	1609852631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN BARBARA MONASKY DMD

Provider Business Mailing Address
First Line	:	PSC 557 BOX 3065
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96379
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3D DENTAL BATTALION/ USNDC
Second Line	:	PSC 482
City	:	FPO
State	:	AP
Zip	:	96379
Country	:	US
Telephone Number	:	011816117457381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	04/20/2008

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