DR. Corey L Black, DMD

NPI #1952839318 in Brooklyn, New York

Provider Information

NPI Number: 1952839318
Entity Type: Individual
Name: DR. Corey L Black, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 30, 2017
Last Updated: Oct 26, 2020

Practice Location

Address: 1035 FULTON ST STE 1
City: Brooklyn
State: New York
ZIP Code: 11238-5276
Phone: (347) 391-4279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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