Individual
DR. MICHAEL JAMES JUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
365 S NORTH CREEK LANE, MONTICELLO, UT 84535-0756
(580) 574-7699
Mailing address
PO BOX 756, MONTICELLO, UT 84535-0756
(580) 574-7699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8413
KY
1223G0001X
General Practice Dentistry
Primary
9921
UT
Other
Enumeration date
09/20/2006
Last updated
11/30/2010
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