NATHANIEL WIEDER

BROOKLYN, NY
NPI1528424165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  058348)
Enumeration Date2016-01-12
Last Update Date2016-01-12
Business Address
-- NATHANIEL WIEDER
390 BERRY ST #B
BROOKLYN, NY 11249-6084
Phone number: 718-218-7210
Mailing Address
-- NATHANIEL WIEDER
160 WILDACRE AVE
LAWRENCE, NY 11559-1413
Phone number: