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1164874145
DAVID DETWEILER BLACK
HARRISBURG, PA
NPI
1164874145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS040926)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
Dr. DAVID DETWEILER BLACK DMD
3550 PAXTON ST
HARRISBURG, PA 17111-1414
Phone number: 717-564-7010
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Mailing Address
Dr. DAVID DETWEILER BLACK DMD
3550 PAXTON ST
HARRISBURG, PA 17111-1414
Phone number: 717-564-7010
Copy
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