Brian Philip Black, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI

1679793426

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

47231 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-26

Last updated

2007-07-08