Individual
DR. ANGELA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1810 E HIGHLAND DR, JONESBORO, AR 72401-6117
(870) 972-8075
(870) 972-8240
Mailing address
PO BOX 67, TAYLORS, SC 29687-0002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3702
AR
1223G0001X
General Practice Dentistry
4543
SC
Other
Enumeration date
12/04/2008
Last updated
10/28/2009
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