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
- City
- Bettendorf
- State
- Iowa
- ZIP Code
- 52722-3538
- Phone
- (563) 359-8271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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