Individual
MRS. SARAH NICHOLE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
215 E 3RD ST, 215 E. 3RD ST, CARTHAGE, MO 64836-1661
(417) 674-2141
Mailing address
215 E 3RD ST, 215 E. 3RD ST, CARTHAGE, MO 64836-1661
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2007015640
MO
Other
Enumeration date
10/15/2014
Last updated
01/10/2019
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