Individual
DR. ALLYSON VARN MONFERDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25 WARD ROAD, LUGOFF, SC 29078
(803) 438-1845
(803) 438-6292
Mailing address
PO BOX 325, LUGOFF, SC 29078-0325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3954
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3954
—
SC
Enumeration date
12/29/2006
Last updated
12/23/2008
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