Individual
DR. JASON GERARD MANDELARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
275 W 200 N, 175, LINDON, UT 84042-5009
(801) 769-2530
Mailing address
275 W 200 N, 175, LINDON, UT 84042-5009
(801) 769-2530
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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