Organization
ELENA BLACK, DDS, PHD, PC
Active
Other names
Appalachian Orthodontics of Lynchburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA BLACK DDS, PHD (PRESIDENT)
(434) 515-0370
Entity
Organization
Contact information
Practice address
3700 OLD FOREST RD, LYNCHBURG, VA 24501-6900
(434) 515-0370
(434) 338-6552
Mailing address
3700 OLD FOREST RD, LYNCHBURG, VA 24501-6900
(434) 515-0370
(434) 338-6552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412779
VA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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