Anthony J. Black, D.d.s,,p.c

NPI #1568628857 in Herndon, Virginia

Provider Information

NPI Number: 1568628857
Entity Type: Organization
Organization Name: Anthony J. Black, D.d.s,,p.c
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 6, 2008
Last Updated: Aug 6, 2008

Practice Location

Address: 12950 HIGHLAND CROSSING DR
Address 2: SUITE F
City: Herndon
State: Virginia
ZIP Code: 20171-5888
Phone: (703) 787-9670

Authorized Official

Name: DR. ANTHONY JOSEPH BLACK
Title: OWNER DENTIST
Phone: (703) 795-8362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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