DAVID WALTON BLACK

SCOTTS VALLEY, CA
NPI1508940032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  21350)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- DAVID WALTON BLACK DDS
4736 SCOTTS VALLEY DR STE C
SCOTTS VALLEY, CA 95066-4226
Phone number: 831-438-0554
Mailing Address
-- DAVID WALTON BLACK DDS
4736 SCOTTS VALLEY DR STE C
SCOTTS VALLEY, CA 95066-4226
Phone number: 831-438-0554
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