Organization
WILLIAM E. BLACK D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD BLACK D.M.D. (OWNER)
(717) 236-7722
Entity
Organization
Contact information
Practice address
1612 N 2ND ST, HARRISBURG, PA 17102-2438
(717) 236-7722
(717) 236-4289
Mailing address
1612 N 2ND ST, HARRISBURG, PA 17102-2438
(717) 236-7722
(717) 236-4289
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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