Individual
DR. DAVID E BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1335 HARDY RD, VINTON, VA 24179-2201
(540) 342-7865
(540) 342-7862
Mailing address
1335 HARDY RD, VINTON, VA 24179-2201
(540) 342-7865
(540) 342-7862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004058
VA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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