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Dr. Brian Philip Black, DDS
General Practice Dentistry in Loma Linda, California
NPI 1679793426

Brian Philip Black is a General Practice Dentistry based in Loma Linda, CA and is specialized in General Practice. Brian Philip Black practices in Loma Linda, CA and has the professional credentials of DDS. The NPI Number for Brian Philip Black is 1679793426 and holds a License No. 47231 (California).

The current practice location address for Brian Philip Black is 11092 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-4613 and via fax at 909-558-4192.

Location: 11092 Anderson St, Loma Linda, CA, 92354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679793426
Provider Name
Brian Philip Black
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11092 Anderson St, Loma Linda, CA, 92354
Phone Number
909-558-4613
Fax Number
909-558-4192
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47231 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11092 Anderson St
City
Loma Linda
State
California
Zip
92354
Phone Number
909-558-4613
Fax Number
909-558-4192
person
Provider Business Mailing Address Details
Address
11092 Anderson St
City
Loma Linda
State
California
Zip
92354
Phone Number
909-558-4613
Fax Number
909-558-4192
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
47231 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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