Organization
BLACK & BLACK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C BLACK III DDA (PRESIDENT)
(717) 464-3223
Entity
Organization
Contact information
Practice address
2600 WILLOW STREET PIKE S, WILLOW STREET, PA 17584-9377
(717) 464-3223
(717) 464-4150
Mailing address
2600 WILLOW STREET PIKE S, WILLOW STREET, PA 17584-9377
(717) 464-3223
(717) 464-4150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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