Individual
ROBERT KELLEN MCWHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 W 200 S STE 275, SALT LAKE CITY, UT 84101-1464
(801) 358-8175
Mailing address
440 W 200 S STE 275, SALT LAKE CITY, UT 84101-1464
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
13682344-9926
UT
1223P0700X
Prosthodontics
DN122976
GA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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