Individual
MR. MAXIME J GREGOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
909 EAST 107TH ST, BROOKLYN, NY 11236
(718) 649-1400
(718) 649-1442
Mailing address
909 EAST 107TH ST, BROOKLYN, NY 11236
(718) 649-1400
(718) 649-1442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01643769
—
NY
01
—
106068
DORAL
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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