Organization
LCR DENTAL MURRAY LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CLARK ROMNEY (OWNER)
(801) 541-7787
Entity
Organization
Contact information
Practice address
586 WEST 5600 SOUTH #101, SALT LAKE CITY, UT 84123
(801) 532-1402
Mailing address
2215 S PRESTON ST, SALT LAKE CITY, UT 84106-4112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6331945-9922
UT
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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