Individual
SHAUNIELL DEARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
254 BIRMINGHAM LN, NORTH SALT LAKE, UT 84054-6035
(801) 787-6343
Mailing address
254 BIRMINGHAM LN, NORTH SALT LAKE, UT 84054-6035
(801) 787-6343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11297888-9922
UT
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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