Organization
NY SMILE ORTHODONTICS
Active
Organization
NY SMILE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG DRUT DDS (OWNER)
(718) 383-0332
Entity
Organization
Contact information
Practice address
1122 AVENUE Z, BROOKLYN, NY 11235-5131
(718) 383-0332
(888) 292-7017
Mailing address
15 ENGLE ST, # 303, ENGLEWOOD, NJ 07631-2936
(201) 303-8181
(201) 875-5588
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047218
NY
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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