Individual
DR. REBECCA SUZANNE MIELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 584-1206
Mailing address
1146 LAIRD AVE, SALT LAKE CITY, UT 84105-1908
(801) 787-5381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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