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Organization

ANTHONY J. BLACK, D.D.S,,P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY JOSEPH BLACK (OWNER DENTIST)
(703) 795-8362
Entity
Organization

Contact information

Practice address
12950 HIGHLAND CROSSING DR, SUITE F, HERNDON, VA 20171-5888
(703) 787-9670
Mailing address
9515 WOODY LN, GREAT FALLS, VA 22066-2024

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410749
VA

Other

Enumeration date
08/06/2008
Last updated
08/06/2008
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