Individual
DAVID BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 OVERLOOK TER, MADISON, MADISON, WI 53705-2254
(608) 280-7035
(608) 280-7211
Mailing address
2500 OVERLOOK TER, MADISON, MADISON, WI 53705-2254
(608) 280-7035
(608) 280-7211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2332-015
WI
Other
Enumeration date
06/19/2006
Last updated
07/10/2007
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