Romney R. Black Dds Pc | |
4370 S Redwood Rd Salt Lake City UT 84123-2223 | |
(801) 969-1802 | |
(801) 966-6853 |
Full Name | Romney R. Black Dds Pc |
---|---|
Speciality | Dentist |
Location | 4370 S Redwood Rd, Salt Lake City, Utah |
Authorized Official Name and Position | Romney Richard Black (DENTIST/OWNER) |
Authorized Official Contact | 8019691802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Romney R. Black Dds Pc 6575 So. Redwood Rd. #275 Salt Lake City UT 84123 Ph: (801) 716-2500 | Romney R. Black Dds Pc 4370 S Redwood Rd Salt Lake City UT 84123-2223 Ph: (801) 969-1802 |
NPI Number | 1215958244 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 05/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215958244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5132937 (Utah) | Primary |
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