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1194814434
GREGG R FADER
NEW YORK, NY
NPI
1194814434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 040972)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. GREGG R FADER DMD
504 GRAND STREET #M3
NEW YORK, NY 10002
Phone number: 212-475-0051
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Mailing Address
Dr. GREGG R FADER DMD
ONE JORDAN LANE
ARDSLEY, NY 10502
Phone number: 914-693-4442
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