Organization
LCR DENTAL ROCK SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CLARK ROMNEY (OWNER)
(801) 541-7787
Entity
Organization
Contact information
Practice address
657 PILOT BUTTE AVE, ROCK SPRINGS, WY 82901-5343
(307) 362-3125
Mailing address
2215 S PRESTON ST, SALT LAKE CITY, UT 84106-4112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1204
WY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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