WILLIAM BLACK
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1194255620- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- ROOM 1200 HSC NORTH P.O. BOX 9475, MORGANTOWN, WV, 26506
- Phone
- (304) 293-2841
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: WV #4694