Organization
LCR DENTAL SUGAR HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CLARK ROMNEY DMD (MANAGING MEMBER)
(801) 541-7787
Entity
Organization
Contact information
Practice address
2068 S 2100 E SUITE #A, SALT LAKE CITY, UT 84108
(801) 532-1402
Mailing address
1409 W 1000 N, SALT LAKE CITY, UT 84116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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