JASON ALEXANDER BLACK

AUSTIN, TX
NPI1275634032
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  20979)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Dr. JASON ALEXANDER BLACK DDS
3624 N HILLS DR STE A103
AUSTIN, TX 78731-3061
Phone number: 512-346-3631
Mailing Address
Dr. JASON ALEXANDER BLACK DDS
3624 N HILLS DR STE A103
AUSTIN, TX 78731-3061
Phone number: 512-346-3631
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