KRISTIN LEE BLACK

DAYTON, OH
NPI1033874896
Former NameKRISTIN L CRAGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OH  31.007966)
Enumeration Date2021-11-05
Last Update Date2021-11-05
Business Address
KRISTIN LEE BLACK RDH, OMT
9001 N MAIN ST FL 2
DAYTON, OH 45415-1175
Phone number: 937-836-7282
Mailing Address
KRISTIN LEE BLACK RDH, OMT
5520 UNION SHELBY RD
PIQUA, OH 45356-9223
Phone number: 937-546-8594
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