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1528424165
NATHANIEL WIEDER
BROOKLYN, NY
NPI
1528424165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 058348)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- NATHANIEL WIEDER
390 BERRY ST #B
BROOKLYN, NY 11249-6084
Phone number: 718-218-7210
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Mailing Address
-- NATHANIEL WIEDER
160 WILDACRE AVE
LAWRENCE, NY 11559-1413
Phone number:
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