Individual
DR. DAVID K. BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
903 RUSSELL AVE, SUITE 201, GAITHERSBURG, MD 20879-3282
(301) 740-8488
Mailing address
903 RUSSELL AVE, SUITE 201, GAITHERSBURG, MD 20879-3282
(301) 740-8488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10440
MD
1223G0001X
General Practice Dentistry
16170
TX
Other
Enumeration date
07/18/2006
Last updated
09/26/2007
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