# OM DENTAL ART, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720622681
- **Authorized official:** DR. OLGA DEGTYAREVA DDS (DENTIST)
- **Authorized official phone:** (201) 845-5533

## Contact information

- **Practice address:** 27 MADISON AVE STE 110, PARAMUS, NJ 07652-2722
- **Practice address phone:** (201) 845-5533
- **Mailing address:** 27 MADISON AVE STE 110, PARAMUS, NJ 07652-2722
- **Mailing address phone:** (201) 845-5533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2019
- **Last updated:** 11/04/2019