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1396958146
DAVID DERISSE
NEW YORK, NY
NPI
1396958146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 051680)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- DAVID DERISSE dmd
129 WADSWORTH AVE APT 3
NEW YORK, NY 10033-4831
Phone number: 212-923-0505
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Mailing Address
-- DAVID DERISSE dmd
211 W 6TH AVE
ROSELLE, NJ 07203-1127
Phone number:
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