Individual
DR. HAROLD A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
839 W CONGRESS ST, EL RIO HC DENTAL PROGRAM, TUCSON, AZ 85745-2819
(520) 670-3758
(520) 670-3759
Mailing address
839 W CONGRESS ST, EL RIO HC DENTAL PROGRAM, TUCSON, AZ 85745-2819
(520) 670-3758
(520) 670-3759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8113
AZ
Other
Enumeration date
12/28/2006
Last updated
12/13/2010
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