Organization
MONROE DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC FABER DDS (OWNER)
(845) 782-5040
Entity
Organization
Contact information
Practice address
809 STATE ROUTE 208, MONROE, NY 10950-1829
(845) 782-5040
(845) 782-3478
Mailing address
809 STATE ROUTE 208, MONROE, NY 10950-1829
(845) 782-5040
(845) 782-3478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3399442
—
NY
Enumeration date
11/15/2012
Last updated
11/15/2012
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