Corey Black Dmd Pllc

NPI #1043991342 in New York, New York

Provider Information

NPI Number
1043991342
Entity Type
Organization
Organization Name
Corey Black Dmd Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 28, 2023
Last Updated
Jul 28, 2023

Practice Location

Address
40 W 117TH ST
ZIP Code
10026-1921
Phone
(347) 315-3633

Authorized Official

Name
DR. COREY LAVELLE BLACK, DMD
Title
OWNER
Phone
(717) 395-3144

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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