DR. Stacy Marie Shearen, D.D.S
NPI #1316144603 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1316144603
- Entity Type
- Individual
- Name
- DR. Stacy Marie Shearen, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2418 ENTERPRISE DR
- Address 2
- SUITE B
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1362
- Phone
- (651) 452-2116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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|---|---|
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