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1679793426
BRIAN PHILIP BLACK
LOMA LINDA, CA
NPI
1679793426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 47231)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Dr. BRIAN PHILIP BLACK D.D.S.
11092 ANDERSON ST
LOMA LINDA, CA 92354
Phone number: 909-558-4613
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Mailing Address
Dr. BRIAN PHILIP BLACK D.D.S.
11092 ANDERSON ST
LOMA LINDA, CA 92354
Phone number: 909-558-4613
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