Organization
MOUNT ROSE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BLACK DMD (PRESIDENT/CEO)
(202) 213-1544
Entity
Organization
Contact information
Practice address
1600 6TH AVENUE, #109, YORK, PA 17403-2626
(717) 852-7475
Mailing address
922 GREEN ST, HARRISBURG, PA 17102-2914
(202) 213-1544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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