Black, Elena

Black, Elena is an individual health care provider with primary practice located at 30 Courthouse Rd , Richmond VA 23236-3124. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Black, Elena can be contacted via phone (617) 875-3106.

Contact Information

Primary practice address
30 Courthouse Rd Richmond VA 23236-3124
Phone: (617) 875-3106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10225 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401412779 Virginia

Profile Details

NPI number 1427205640
LBN Legal business name Black, Elena
Credentials DDS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Jan 20th, 2011 - about 13 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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