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Organization
ELENA BLACK, DDS, PHD, PC
Active
Organization
ELENA BLACK, DDS, PHD, PC
Active
Other names
Appalachian Orthodontics of Lynchburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA BLACK DDS, PHD (PRESIDENT)
(434) 515-0370
Entity
Organization
Contact information
Practice address
3700 OLD FOREST RD, LYNCHBURG, VA 24501-6900
(434) 515-0370
(434) 338-6552
Mailing address
3700 OLD FOREST RD, LYNCHBURG, VA 24501-6900
(434) 515-0370
(434) 338-6552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412779
VA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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