Individual
SHANNON DALY WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
Mailing address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9088226-8903
UT
1223G0001X
General Practice Dentistry
Primary
D012527
AZ
Other
Enumeration date
04/24/2023
Last updated
04/07/2026
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