Individual
DR. DAVID DETWEILER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3550 PAXTON ST, HARRISBURG, PA 17111-1414
(717) 564-7010
Mailing address
3550 PAXTON ST, HARRISBURG, PA 17111-1414
(717) 564-7010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040926
PA
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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