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1376632943
JOHN THOMAS BLACK
PONTOTOC, MS
NPI
1376632943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 2066-84)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. JOHN THOMAS BLACK D.M.D.
209 S MAIN ST
PONTOTOC, MS 38863-3319
Phone number: 662-489-7768
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Mailing Address
Dr. JOHN THOMAS BLACK D.M.D.
PO BOX 539 209 S MAIN ST
PONTOTOC, MS 38863-0539
Phone number: 662-489-7768
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