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Search › Kansas › 1223P0221X

Harrison Black, D.M.D

NPI 1750780052 · on the registry since 2014

Practice

Address
3305 E Douglas Ave Ste 101
Wichita, KS 67218
Phone
(316) 223-4455
Fax
(316) 223-4455
Organisation at this address
Ea2, Pa
Abay Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
1223P0221X
Licence states on file
FL, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas