Xavier Wade

NPI 1295966653 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1295966653
Gender Male
Enumeration Date 08/04/2009
Last Updated 08/04/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
121 AVENUE OF THE AMERICAS
NEW YORK NY, 10013-1510, US
Phone (212) 941-9614
Fax
Business Location
121 AVENUE OF THE AMERICAS
NEW YORK NY, 10013-1510, US
Phone
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State New York
License Number 51025745
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According to our database, Xavier Wade NPI is 1295966653, taxonomy code is 124Q00000X and license number is 51025745, license state is located at New York. Xavier Wade physically located at 121 Avenue Of The Americas, New York NY, 10013-1510. NPI Number Xavier Wade has the Individual type.

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1295966653 NPI number is provided on an as is basis without warranty of any kind. 1295966653 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Wade are for informational purposes only.