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1679733885
TYSON BLACK
GRAND JUNCTION, CO
NPI
1679733885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 5562073-9921)
Enumeration Date
2008-06-11
Last Update Date
2009-02-03
Business Address
Dr. TYSON BLACK D.M.D.
2650 NORTH AVE UNIT 101
GRAND JUNCTION, CO 81501-6403
Phone number: 970-255-1222
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Mailing Address
Dr. TYSON BLACK D.M.D.
2650 NORTH AVE UNIT 101
GRAND JUNCTION, CO 81501-6403
Phone number: 970-255-1222
Copy
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