JAY A BLACK

CAMP LEJEUNE, NC
NPI1942273396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: VA  0401008403)
Enumeration Date2006-02-08
Last Update Date2007-08-01
Business Address
Dr. JAY A BLACK DMD
315 MCHUGH BLVD 2D DEN BN/NDC
CAMP LEJEUNE, NC 28547-2511
Phone number: 910-451-2208
Mailing Address
Dr. JAY A BLACK DMD
315 MCHUGH BLVD 2D DEN BN/NDC
CAMP LEJEUNE, NC 28547-2511
Phone number: 910-451-2208
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