David Walton Black, DDS
NPI #1508940032 in Scotts Valley, California
Provider Information
- NPI Number
- 1508940032
- Entity Type
- Individual
- Name
- David Walton Black, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4736 SCOTTS VALLEY DR STE C
- City
- Scotts Valley
- State
- California
- ZIP Code
- 95066-4226
- Phone
- (831) 438-0554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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