Individual
SIERRA BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
151 E 5600 S, MURRAY, UT 84107-6181
(208) 852-1560
(208) 852-1560
Mailing address
16 S 200 E, KAYSVILLE, UT 84037-2018
(208) 852-1560
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
12782441-9924
UT
1223D0004X
Dental Anesthesiology
5171473
ID
Other
Enumeration date
01/31/2022
Last updated
11/10/2025
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