Individual
DR. BENJAMIN KEITH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
5 YORKSHIRE STREET, SUITE A, ASHEVILLE, NC 28803
(828) 277-7103
Mailing address
21 GREENWOOD RD, ASHEVILLE, NC 28803-3110
(828) 277-7103
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5126
NC
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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