Jill Black

NPI #1851696413 in Burton, Michigan

Provider Information

NPI Number: 1851696413
Entity Type: Individual
Name: Jill Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 12, 2011
Last Updated: Jan 12, 2011

Practice Location

Address: G3375 S SAGINAW ST
City: Burton
State: Michigan
ZIP Code: 48529-1277
Phone: (810) 743-6830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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