| NPI | 1467422022 |
|---|---|
| Professional Name | STEVEN WAYNE BLACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: ID D-3652-EN) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MS ENDO-526-17) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-09-09 |