Individual
XAVIER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-1510
(212) 941-9614
Mailing address
121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-1510
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
51025745
NY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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