| Anthony J. Black, D.d.s,,p.c | |
|
12950 Highland Crossing Dr Suite F Herndon VA 20171-5888 | |
| (703) 787-9670 | |
| Not Available |
| Full Name | Anthony J. Black, D.d.s,,p.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12950 Highland Crossing Dr, Herndon, Virginia |
| Authorized Official Name and Position | Anthony Joseph Black (OWNER DENTIST) |
| Authorized Official Contact | 7037958362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony J. Black, D.d.s,,p.c 9515 Woody Ln Great Falls VA 22066-2024 Ph: () - | Anthony J. Black, D.d.s,,p.c 12950 Highland Crossing Dr Suite F Herndon VA 20171-5888 Ph: (703) 787-9670 |
| NPI Number | 1568628857 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568628857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410749 (Virginia) | Primary |
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