| Mwh02 Llc | |
|
6095 S Fashion Blvd Ste 200 Murray UT 84107-7395 | |
| (801) 262-4662 | |
| Not Available |
| Full Name | Mwh02 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6095 S Fashion Blvd Ste 200, Murray, Utah |
| Authorized Official Name and Position | Emilie Brannelly (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8013184422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mwh02 Llc 5069 W 13400 S Ste 200 Riverton UT 84096-6602 Ph: (801) 318-4422 | Mwh02 Llc 6095 S Fashion Blvd Ste 200 Murray UT 84107-7395 Ph: (801) 262-4662 |
| NPI Number | 1942022967 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942022967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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