Black, Cameron C.
Black, Cameron C. is an individual health care provider with primary practice located at 2525 E 30Th St , Farmington NM 87401-4503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Black, Cameron C. can be contacted via phone (505) 327-4863.Contact Information
Primary practice address
2525 E 30Th St
Farmington NM 87401-4503
Phone: (505) 327-4863
Fax: (505) 327-5394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD2904 | New Mexico |
Profile Details
| NPI number | 1609066521 |
|---|---|
| LBN Legal business name | Black, Cameron C. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 26th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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