Individual
DR. WAYNE TODD FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 DEAN DR, TENAFLY, NJ 07670-2765
(201) 871-4505
Mailing address
22 EVERGREEN PL, TENAFLY, NJ 07670-2806
(201) 568-2954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DL01125500
NJ
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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