Individual
DR. ALEXA COX BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2617 ASHLAND RD, COLUMBIA, SC 29210-5005
(803) 772-9994
Mailing address
2617 ASHLAND RD, COLUMBIA, SC 29210-5005
(803) 772-9994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10267
SC
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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