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Organization
KEVIN BLACK, DMD, PLLC
Active
Organization
KEVIN BLACK, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BLACK DMD (OWNER/DENTIST)
(614) 805-4702
Entity
Organization
Contact information
Practice address
2501 65TH ST, GALVESTON, TX 77551-2218
(409) 744-4551
Mailing address
2501 65TH ST, GALVESTON, TX 77551-2218
(409) 744-4551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30291
TX
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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