Individual
DR. KLINE C BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1500 E DESERT INN RD, STE #3, LAS VEGAS, NV 89169-2550
(702) 642-8101
(702) 642-1131
Mailing address
1500 E DESERT INN RD, STE #3, LAS VEGAS, NV 89169-2550
(702) 642-8101
(702) 642-1131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5852
NV
Other
Enumeration date
07/13/2009
Last updated
12/27/2010
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