Individual
LAUREN ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Mailing address
239 CARVER RD APT 3, PLYMOUTH, MA 02360-5295
(603) 548-1397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859411
MA
1223G0001X
General Practice Dentistry
FORTHCOMING
MA
Other
Enumeration date
05/23/2022
Last updated
12/04/2024
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