Individual
MEGAN BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S 1100 E, AMERICAN FORK, UT 84003-2815
(801) 756-3737
Mailing address
3670 S LAURELCREST DR, SALT LAKE CITY, UT 84109-3732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12888141-9922
UT
1223P0221X
Pediatric Dentistry
Primary
12888141-9925
UT
Other
Enumeration date
07/23/2022
Last updated
10/09/2024
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