Individual
DR. DONALD D BLACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 4TH ST N, ST PETERSBURG, FL 33702-5924
(727) 521-1818
(727) 525-3686
Mailing address
7300 4TH ST N, ST PETERSBURG, FL 33702-5924
(727) 521-1818
(727) 525-3686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10252
FL
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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