Organization
BUSHWICK ORTHODONTICS PLLC
Active
Organization
BUSHWICK ORTHODONTICS PLLC
Active
Other names
Diamond Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG DRUT D.D.S. (OWNER/ORTHODONTIST)
(718) 373-6707
Entity
Organization
Contact information
Practice address
408 KNICKERBOCKER AVE, BROOKLYN, NY 11237-4102
(718) 443-4444
(718) 373-6707
Mailing address
79 AVENUE U, BROOKLYN, NY 11223-3551
(718) 373-6707
(718) 373-6799
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047218
NY
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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