Individual
ANTHONY J. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12950 HIGHLAND CROSSING DR, SUITE F, HERNDON, VA 20171-5888
(703) 787-9670
Mailing address
12950 HIGHLAND CROSSING DR, SUITE F, HERNDON, VA 20171-5888
(703) 787-9670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410749
VA
Other
Enumeration date
05/03/2007
Last updated
05/14/2010
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