Black, Mary Rose Carlos

Black, Mary Rose Carlos is an individual health care provider with primary practice located at 2300 E Rancier Ave , Killeen TX 76543-3400. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Black, Mary Rose Carlos can be contacted via phone (512) 537-3301.

Contact Information

Primary practice address
2300 E Rancier Ave Killeen TX 76543-3400
Phone: (512) 537-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25224 Texas

Profile Details

NPI number 1952680779
LBN Legal business name Black, Mary Rose Carlos
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Aug 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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