# LCR DENTAL SUGAR HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518478742
- **Authorized official:** LAWRENCE CLARK ROMNEY DMD (MANAGING MEMBER)
- **Authorized official phone:** (801) 541-7787

## Contact information

- **Practice address:** 2068 S 2100 E SUITE \#A, SALT LAKE CITY, UT 84108
- **Practice address phone:** (801) 532-1402
- **Mailing address:** 1409 W 1000 N, SALT LAKE CITY, UT 84116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 10/16/2017