| NPI | 1306690573 |
|---|---|
| Doing Business As | LARRY BLACK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LARRY C BLACK Dentist 810-732-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |