Organization · Type 2 NPI

Edward E Black Dds,ms,inc

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1508010497 Active

Practice location

3015 Crenshaw Blvd, Suite C
Los Angeles, CA 90016-4264

Call (323) 734-1534 Map

Fax (323) 734-4693

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17879 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1508010497

Edward E Black Dds,ms,inc's National Provider Identifier is 1508010497, issued on Nov 5, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 5, 2008.