Organization
OM DENTAL ART, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA DEGTYAREVA DDS (DENTIST)
(201) 845-5533
Entity
Organization
Contact information
Practice address
27 MADISON AVE STE 110, PARAMUS, NJ 07652-2722
(201) 845-5533
Mailing address
27 MADISON AVE STE 110, PARAMUS, NJ 07652-2722
(201) 845-5533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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