Dr. HARRISON BLACK D.M.D
Individual Provider (NPI-1)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1750780052- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D
- Status
- Active
Contact & Location
- Address
- 3305 E DOUGLAS AVE STE 101, WICHITA, KS, 672181037
- Phone
- (316) 223-4455
- Fax
- (316) 223-4455
Specialties & Taxonomies
Dentist
License: FL #1267
Dentist, Pediatric Dentistry
License: FL #DN21749
Dentist, Pediatric Dentistry
Primary License: KS #61482