KURT S. BLACK

CORVALLIS, OR
NPI1497740427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D6925)
Enumeration Date2005-09-15
Last Update Date2007-08-06
Business Address
DR. KURT S. BLACK D.D.S.
2356 NW PROFESSIONAL DR
CORVALLIS, OR 97330-3881
Phone number: 541-754-0144
Mailing Address
DR. KURT S. BLACK D.D.S.
2356 NW PROFESSIONAL DR
CORVALLIS, OR 97330-3881
Phone number: 541-754-0144
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