Individual
WILLIAM BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ROOM 1200 HSC NORTH, P.O. BOX 9475, MORGANTOWN, WV 26506
(304) 293-2841
Mailing address
440 OVERHILL STREET, MORGANTOWN, WV 26505
(304) 389-3142
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4694
WV
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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