Organization
COREY BLACK DMD PLLC
Active
Other names
SmileSpace Harlem
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY LAVELLE BLACK DMD (OWNER)
(717) 395-3144
Entity
Organization
Contact information
Practice address
40 W 117TH ST, NEW YORK, NY 10026-1921
(347) 315-3633
Mailing address
40 W 117TH ST, NEW YORK, NY 10026-1921
(347) 315-3633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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