DR. Charles Black III, D.M.D.

NPI #1972754950 in Mobile, Alabama

Provider Information

NPI Number: 1972754950
Entity Type: Individual
Name: DR. Charles Black III, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Oct 8, 2008
Last Updated: Oct 8, 2008

Practice Location

Address: 4728 AIRPORT BLVD
Address 2: SUITE C
City: Mobile
State: Alabama
ZIP Code: 36608
Phone: (251) 343-3415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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