Organization
MWH03 LLC
Active
Other names
Salt Flats Dentistry in Riverton
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIE BRANNELLY (DIRECTOR OF OPERATIONS)
(801) 318-4422
Entity
Organization
Contact information
Practice address
3816 W 13400 S STE 200, RIVERTON, UT 84065-7888
(385) 533-9393
Mailing address
3816 W 13400 S STE 200, RIVERTON, UT 84065-7888
(385) 533-9393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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