Organization
QUEENS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG DRUT D.D.S. (OWNER/ORTHODONTIST)
(201) 400-3822
Entity
Organization
Contact information
Practice address
3097 STEINWAY ST, 2ND FLOOR, ASTORIA, NY 11103-3440
(718) 545-5100
Mailing address
3097 STEINWAY ST, 2ND FLOOR, ASTORIA, NY 11103-3440
(718) 545-5100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047218-1
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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