Individual
SHONA RAYANNE WALKER TEEPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
77 D ST, SALT LAKE CITY, UT 84103-2638
(801) 652-8622
Mailing address
2020 S 1300 E STE A, SALT LAKE CITY, UT 84105-3650
(801) 467-6886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12675602-9921
UT
Other
Enumeration date
01/28/2022
Last updated
08/13/2024
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