Individual
DR. GREGG T TAKATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
425 MADISON AVE, #1002, NEW YORK, NY 10017-1110
(212) 421-3626
Mailing address
425 MADISON AVE, #1002, NEW YORK, NY 10017-1110
(212) 421-3626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
037774
NY
Other
Enumeration date
04/08/2009
Last updated
11/18/2013
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