Individual
DR. LARRY CHATHAM BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5145 FLUSHING RD, FLUSHING, MI 48433-2572
(810) 732-7310
(810) 732-2464
Mailing address
5145 FLUSHING RD, FLUSHING, MI 48433-2572
(810) 732-7310
(810) 732-2464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015586
MI
Other
Enumeration date
06/15/2006
Last updated
05/11/2016
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