Kevin Black, Dmd, Pllc

NPI #1740713163 in Galveston, Texas

Provider Information

NPI Number: 1740713163
Entity Type: Organization
Organization Name: Kevin Black, Dmd, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 4, 2017
Last Updated: Apr 4, 2017

Practice Location

Address: 2501 65TH ST
City: Galveston
State: Texas
ZIP Code: 77551-2218
Phone: (409) 744-4551

Authorized Official

Name: DR. KEVIN BLACK, DMD
Title: OWNER/DENTIST
Phone: (614) 805-4702

Specialties & Taxonomy Codes

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

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