DR. Johnny Lynn Black, D.D.S.

NPI #1437155660 in Shreveport, Louisiana

Provider Information

NPI Number
1437155660
Entity Type
Individual
Name
DR. Johnny Lynn Black, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
8535 FERN AVE
ZIP Code
71105-5656
Phone
(318) 798-3376

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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