Stacy Black, Dds, PA

NPI #1831584598 in Rusk, Texas

Provider Information

NPI Number
1831584598
Entity Type
Organization
Organization Name
Stacy Black, Dds, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 31, 2015
Last Updated
Mar 31, 2015

Practice Location

Address
132 HATCHETT
City
Rusk
State
Texas
ZIP Code
75785
Phone
(903) 683-5751

Authorized Official

Name
DR. STACY LEE BLACK, DDS
Title
MEMBER/PRESIDENT
Phone
(903) 683-5751

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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