# DR. STUART DANIEL SEGURA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255589164
- **Gender:** Man
- **Credential:** DDS, MSD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7108173-9921 | UT | — |
| 1223P0221X | Pediatric Dentistry | 7108173-9922 | UT | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 04/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7108173-9921 | STATE LICENSE | UT |