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Individual
DR. JASON GERARD MANDELARIS
Active
Individual
DR. JASON GERARD MANDELARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7579613-9922
UT
Other
Enumeration date
08/22/2008
Last updated
07/12/2010
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