Individual
MARC L PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1136 5TH AVE, NEW YORK, NY 10128-0122
(212) 876-7408
(212) 876-4446
Mailing address
1136 5TH AVE, NEW YORK, NY 10128-0122
(212) 876-7408
(212) 876-4446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031344
NY
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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