CHARLES RANDALL BLACK

PLYMOUTH, MA
NPI1205094240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  12990)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
Dr. CHARLES RANDALL BLACK DMD
26 LONG POND ROAD PLYMOUTH COUNTY CORRECTIONAL FACILITY
PLYMOUTH, MA 02360-2606
Phone number: 508-830-6200
Mailing Address
Dr. CHARLES RANDALL BLACK DMD
39 KATHLEEN DRIVE
PLYMOUTH, MA 02360-1630
Phone number: 508-224-8951
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