Organization
BRIAN S BLACK DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCOTT BLACK DDS (PRESIDENT)
(979) 695-8000
Entity
Organization
Contact information
Practice address
219 ROCK PRAIRIE RD STE. 100, COLLEGE STATION, TX 77845
(979) 695-8000
(979) 314-9702
Mailing address
219 ROCK PRAIRIE RD STE 100, COLLEGE STATION, TX 77845-8796
(979) 695-8000
(979) 314-9702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25509
TX
Other
Enumeration date
10/22/2010
Last updated
04/03/2014
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