Individual
DR. NAN MONROE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14810 CANTRELL RD STE 150, LITTLE ROCK, AR 72223-4681
(501) 673-3905
Mailing address
14810 CANTRELL RD STE 150, LITTLE ROCK, AR 72223-4681
(501) 673-3905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3580-11
MS
1223G0001X
General Practice Dentistry
Primary
4160
AR
Other
Enumeration date
07/06/2009
Last updated
01/11/2018
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