Individual
DR. EMMETT WHEELESS BLACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
526 ACADEMY AVE, DUBLIN, GA 31021-5202
(478) 272-6316
(478) 275-4340
Mailing address
526 ACADEMY AVE, DUBLIN, GA 31021-5202
(478) 272-6316
(478) 275-4340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008117
GA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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