Individual ProviderTassia Dimitrios MasgalasDentistDental ProvidersPractice Address420 West Elm Ave, Hanover, PA 17331(717) 632-4164PECOS EnrollmentBased on the most recent information from CMS, provider Tassia Dimitrios Masgalas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1154349066Provider TypeIndividualFull NameMasgalas, Tassia DimitriosTitleDr.CredentialD.D.SGenderFemaleSole ProprietorNoEnumeration Date7/18/2006Last Updated6/4/2019Contact InformationPractice LocationPractice Address420 West Elm Ave, Hanover, PA 17331Phone(717) 632-4164Fax(717) 632-8987Mailing LocationMailing Address420 West Elm Ave, Hanover, PA 17331Phone(717) 632-4164Fax(717) 632-8987Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDS026937LPennsylvaniaCode122300000XDescriptionDentistDental ProvidersLicenseDS026937LPennsylvania