Individual
DR. RACHEL M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, DDS
Contact information
Practice address
3003 E 98TH ST STE 200, INDIANAPOLIS, IN 46280-1973
(317) 843-1281
(317) 574-9390
Mailing address
3003 E 98TH ST STE 200, INDIANAPOLIS, IN 46280-1973
(317) 843-1281
(317) 574-9390
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12013027A
IN
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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