NPI 1366487670

Jason Lee Monfredi, DDS

Practitioner Dentist Vernal, UT

Practice location

Address: 315 W 100 S, Vernal, UT 84078-2517
Phone: (435) 789-0011

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5346171 (UT)

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Registry record

NPI: 1366487670
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.