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1689793101
KENNETH MASON BLACK
CHAPEL HILL, NC
NPI
1689793101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 6123)
Enumeration Date
2007-03-28
Last Update Date
2007-07-09
Business Address
-- KENNETH MASON BLACK DDS
427 MEADOWMONT VILLAGE CIR
CHAPEL HILL, NC 27517-7506
Phone number: 919-969-9330
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Mailing Address
-- KENNETH MASON BLACK DDS
1201 LONG GATE WAY
APEX, NC 27502-2242
Phone number:
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