Individual
DR. JOEL LESLIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
277 CABOT ST, BEVERLY, MA 01915-4525
(978) 927-1750
(978) 922-0143
Mailing address
277 CABOT ST, BEVERLY, MA 01915-4525
(978) 927-1750
(978) 922-0143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9968
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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