Organization
JOHN J BLACK DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J BLACK DDS (DIRECTOR)
(970) 739-7721
Entity
Organization
Contact information
Practice address
18 S BEECH ST, CORTEZ, CO 81321-3744
(970) 565-4702
(970) 565-1979
Mailing address
PO BOX 871, DOVE CREEK, CO 81324-0871
(970) 739-7721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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