DR. Roger William Black, D.D.S.

NPI #1104806389 in Berkley, Michigan

Provider Information

NPI Number: 1104806389
Entity Type: Individual
Name: DR. Roger William Black, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 28969 WOODWARD AVE
City: Berkley
State: Michigan
ZIP Code: 48072-0916
Phone: (248) 398-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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