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1144849365
BRENT T. BLACK
COLLEGE STATION, TX
NPI
1144849365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TX 36416)
Enumeration Date
2020-04-09
Last Update Date
2024-07-15
Business Address
BRENT T. BLACK DDS
1505 EMERALD PLZ
COLLEGE STATION, TX 77845-1501
Phone number: 979-764-7101
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Mailing Address
BRENT T. BLACK DDS
1505 EMERALD PLZ
COLLEGE STATION, TX 77845-1501
Phone number: 979-764-7101
Copy
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