DR. Paul Ralph Black JR., D.D.S.

NPI #1427101567 in Bettendorf, Iowa

Provider Information

NPI Number
1427101567
Entity Type
Individual
Name
DR. Paul Ralph Black JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jan 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2525 KIMBERLY RD
Address 2
SUITE#3
State
Iowa
ZIP Code
52722-3538
Phone
(563) 359-8271

Specialties & Taxonomy Codes

Specialty
Dentist

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