Organization
MWH02 LLC
Active
Other names
Salt Flats Dentistry of Cottonwood
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIE BRANNELLY (DIRECTOR OF OPERATIONS)
(801) 318-4422
Entity
Organization
Contact information
Practice address
6095 S FASHION BLVD STE 200, MURRAY, UT 84107-7395
(801) 262-4662
Mailing address
5069 W 13400 S STE 200, RIVERTON, UT 84096-6602
(801) 318-4422
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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