Charles Black III Dmd PA

NPI #1063568848 in Mobile, Alabama

Provider Information

NPI Number
1063568848
Entity Type
Organization
Organization Name
Charles Black III Dmd PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
4728 AIRPORT BLVD
Address 2
SUITE C
City
Mobile
State
Alabama
ZIP Code
36608
Phone
(251) 343-3415

Authorized Official

Name
CHARLES BLACK III, DMD
Title
OWNER
Phone
(251) 343-3415

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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