JACQUESE OLEAN BLACK

GREENSBORO, NC
NPI1649387382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  6204)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
-- JACQUESE OLEAN BLACK DDS
900 SUMMIT AVE
GREENSBORO, NC 27405-7918
Phone number: 336-370-1112
Mailing Address
-- JACQUESE OLEAN BLACK DDS
2041 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-5147
Phone number: 336-777-0303