DR. Mary Rose Carlos Black, D.M.D.

NPI #1952680779 in Killeen, Texas

Provider Information

NPI Number: 1952680779
Entity Type: Individual
Name: DR. Mary Rose Carlos Black, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 10, 2011
Last Updated: Aug 10, 2011

Practice Location

Address: 2300 E RANCIER AVE
City: Killeen
State: Texas
ZIP Code: 76543-3400
Phone: (512) 537-3301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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