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1205848645
DONALD D BLACK
ST PETERSBURG, FL
NPI
1205848645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN10252)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Dr. DONALD D BLACK
7300 4TH ST N
ST PETERSBURG, FL 33702-5924
Phone number: 727-521-1818
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Mailing Address
Dr. DONALD D BLACK
7300 4TH ST N
ST PETERSBURG, FL 33702-5924
Phone number: 727-521-1818
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NORTHEAST ST. PETERSBURG ORTHODONTICS LLC