Elena Black, Dds, Phd, PC

NPI #1982967832 in Lynchburg, Virginia

Provider Information

NPI Number: 1982967832
Entity Type: Organization
Organization Name: Elena Black, Dds, Phd, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 3700 OLD FOREST RD
City: Lynchburg
State: Virginia
ZIP Code: 24501-6900
Phone: (434) 515-0370

Authorized Official

Name: DR. ELENA BLACK, DDS, PHD
Title: PRESIDENT
Phone: (434) 515-0370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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