DAVID BLACK

MADISON, WI
NPI1013952340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  2332-015)
Enumeration Date2006-06-19
Last Update Date2007-07-10
Business Address
-- DAVID BLACK DDS
2500 OVERLOOK TER MADISON
MADISON, WI 53705-2254
Phone number: 608-280-7035
Mailing Address
-- DAVID BLACK DDS
2500 OVERLOOK TER MADISON
MADISON, WI 53705-2254
Phone number: 608-280-7035
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