Hattie L. Thorn-Black, D.D.S.
NPI #1215933486 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1215933486
- Entity Type
- Individual
- Name
- Hattie L. Thorn-Black, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jun 22, 2005
- Last Updated
- Oct 1, 2012
Practice Location
- Address
- 1315 E 24TH ST
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55404-3975
- Phone
- (612) 721-9825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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