DR. Kurt S. Black, D.D.S.

NPI #1497740427 in Corvallis, Oregon

Provider Information

NPI Number
1497740427
Entity Type
Individual
Name
DR. Kurt S. Black, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 15, 2005
Last Updated
Aug 6, 2007

Practice Location

Address
2356 NW PROFESSIONAL DR
State
Oregon
ZIP Code
97330-3881
Phone
(541) 754-0144

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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