Organization
ROMNEY R. BLACK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMNEY RICHARD BLACK D.D.S. (DENTIST/OWNER)
(801) 969-1802
Entity
Organization
Contact information
Practice address
4370 S REDWOOD RD, SALT LAKE CITY, UT 84123-2223
(801) 969-1802
(801) 966-6853
Mailing address
6575 SO. REDWOOD RD. #275, SALT LAKE CITY, UT 84123
(801) 716-2500
(801) 716-2503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5132937
UT
Other
Enumeration date
07/23/2006
Last updated
05/27/2014
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