DR. W Michael Black, DDS

NPI #1275624959 in Orem, Utah

Provider Information

NPI Number: 1275624959
Entity Type: Individual
Name: DR. W Michael Black, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1375 E 800 N
Address 2: SUITE 103
City: Orem
State: Utah
ZIP Code: 84097
Phone: (801) 225-2310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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