| William J. Black Dds, Inc | |
|
2925 Elverta Rd Antelope CA 95843-9106 | |
| (916) 331-6288 | |
| (916) 331-0760 |
| Full Name | William J. Black Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2925 Elverta Rd, Antelope, California |
| Authorized Official Name and Position | William John Black (OWNER) |
| Authorized Official Contact | 9163316288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J. Black Dds, Inc 2925 Elverta Rd Antelope CA 95843-9106 Ph: (916) 331-6288 | William J. Black Dds, Inc 2925 Elverta Rd Antelope CA 95843-9106 Ph: (916) 331-6288 |
| NPI Number | 1336460088 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336460088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40140 (California) | Primary |
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