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1194255620
WILLIAM BLACK
MORGANTOWN, WV
NPI
1194255620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WV 4694)
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
WILLIAM BLACK
ROOM 1200 HSC NORTH P.O. BOX 9475
MORGANTOWN, WV 26506
Phone number: 304-293-2841
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Mailing Address
WILLIAM BLACK
440 OVERHILL STREET
MORGANTOWN, WV 26505
Phone number: 304-389-3142
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