Organization
SMILIFY OF FAIR LAWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG DRUT DDS (OWNER)
(201) 797-4400
Entity
Organization
Contact information
Practice address
14-23 RIVER RD, FAIR LAWN, NJ 07410-1240
(201) 797-4400
(888) 292-7017
Mailing address
15 ENGLE ST, SUITE 303, ENGLEWOOD, NJ 07631-2936
(201) 308-8181
(201) 875-5588
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
02070700
NJ
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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