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1316124555
RICHARD MICHAEL BLACK
ENCINITAS, CA
NPI
1316124555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 29211)
Enumeration Date
2008-01-30
Last Update Date
2008-01-30
Business Address
Dr. RICHARD MICHAEL BLACK DMD
317 N EL CAMINO REAL SUITE 203
ENCINITAS, CA 92024-2811
Phone number: 760-942-4040
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Mailing Address
Dr. RICHARD MICHAEL BLACK DMD
317 N EL CAMINO REAL SUITE 203
ENCINITAS, CA 92024-2811
Phone number: 760-942-4040
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