DAVID DERISSE

NEW YORK, NY
NPI1396958146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  051680)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- DAVID DERISSE dmd
129 WADSWORTH AVE APT 3
NEW YORK, NY 10033-4831
Phone number: 212-923-0505
Mailing Address
-- DAVID DERISSE dmd
211 W 6TH AVE
ROSELLE, NJ 07203-1127
Phone number: