Brian S Black DDS Pllc
NPI #1619277894 in College Station, Texas
Provider Information
- NPI Number
- 1619277894
- Entity Type
- Organization
- Organization Name
- Brian S Black DDS Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 22, 2010
- Last Updated
- Apr 3, 2014
Practice Location
- Address
- 219 ROCK PRAIRIE RD STE. 100
- City
- College Station
- State
- Texas
- ZIP Code
- 77845
- Phone
- (979) 695-8000
Authorized Official
- Name
- DR. BRIAN SCOTT BLACK, DDS
- Title
- PRESIDENT
- Phone
- (979) 695-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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