DR. Mark James Black, DDS
NPI #1306286034 in Champaign, Illinois
Provider Information
- NPI Number
- 1306286034
- Entity Type
- Individual
- Name
- DR. Mark James Black, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 26, 2013
- Last Updated
- Jun 26, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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