Organization
RICHMOND AVE ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG DRUT DDS (OWNER PRESIDENT)
(718) 477-7711
Entity
Organization
Contact information
Practice address
2025 RICHMOND AVE, STATEN ISLAND, NY 10314-3937
(718) 477-7711
Mailing address
2025 RICHMOND AVE, STATEN ISLAND, NY 10314-3937
(718) 477-7711
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047348-1
NY
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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