Individual
DR. ROGER WILLIAM BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
28969 WOODWARD AVE, BERKLEY, MI 48072-0916
(248) 398-5545
(248) 398-6153
Mailing address
28969 WOODWARD AVE, BERKLEY, MI 48072-0916
(248) 398-5545
(248) 398-6153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10634
MI
Other
Enumeration date
01/22/2006
Last updated
07/08/2007
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