Romney Pediatric Dental, Pllc | |
525 E 100 S Ste 430 Slc UT 84102-2074 | |
(801) 532-1402 | |
(801) 328-3054 |
Full Name | Romney Pediatric Dental, Pllc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 525 E 100 S Ste 430, Slc, Utah |
Authorized Official Name and Position | L. Clark Romney (DENTIST) |
Authorized Official Contact | 3073623125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Romney Pediatric Dental, Pllc 525 E 100 S Ste 430 Salt Lake City UT 84102-2074 Ph: (307) 362-3125 | Romney Pediatric Dental, Pllc 525 E 100 S Ste 430 Slc UT 84102-2074 Ph: (801) 532-1402 |
NPI Number | 1598035172 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 04/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598035172 | NPI | - | NPPES |
1598924078 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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