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1558556209
STEPHEN R. BLACK
ALBUQUERQUE, NM
NPI
1558556209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NM dd2942)
Enumeration Date
2007-09-06
Last Update Date
2007-09-06
Business Address
Dr. STEPHEN R. BLACK D.D.S.
1231 CANDELARIA RD NW
ALBUQUERQUE, NM 87107-2767
Phone number: 505-843-7581
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Mailing Address
Dr. STEPHEN R. BLACK D.D.S.
3637 GRAPE ST
SAN DIEGO, CA 92104-5715
Phone number: 310-733-7116
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