Individual
DR. RICHARD MICHAEL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
317 N EL CAMINO REAL, SUITE 203, ENCINITAS, CA 92024-2811
(760) 942-4040
(760) 918-6890
Mailing address
317 N EL CAMINO REAL, SUITE 203, ENCINITAS, CA 92024-2811
(760) 942-4040
(760) 918-6890
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29211
CA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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