Mwh03 LLC

NPI #1578385597 in Riverton, Utah

Provider Information

NPI Number: 1578385597
Entity Type: Organization
Organization Name: Mwh03 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 30, 2024
Last Updated: Oct 30, 2024

Practice Location

Address: 3816 W 13400 S STE 200
City: Riverton
State: Utah
ZIP Code: 84065-7888
Phone: (385) 533-9393

Authorized Official

Name: EMILIE BRANNELLY
Title: DIRECTOR OF OPERATIONS
Phone: (801) 318-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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