September Black, RDH

NPI #1326408162 in Montrose, Colorado

Provider Information

NPI Number: 1326408162
Entity Type: Individual
Name: September Black, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Mar 4, 2016
Last Updated: Mar 4, 2016

Practice Location

Address: 25 S LOT AVE
City: Montrose
State: Colorado
ZIP Code: 81401-4037
Phone: (970) 249-9096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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