Individual
SIERRA BODILY
Active
Individual
SIERRA BODILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
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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