| Mwh03 Llc | |
|
3816 W 13400 S Ste 200 Riverton UT 84065-7888 | |
| (385) 533-9393 | |
| Not Available |
| Full Name | Mwh03 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3816 W 13400 S Ste 200, Riverton, 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 |
|---|---|
| Mwh03 Llc 3816 W 13400 S Ste 200 Riverton UT 84065-7888 Ph: (385) 533-9393 | Mwh03 Llc 3816 W 13400 S Ste 200 Riverton UT 84065-7888 Ph: (385) 533-9393 |
| NPI Number | 1578385597 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578385597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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