Organization
JOURNAL SQUARE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG DRUT DDS (OWNER)
(201) 420-7116
Entity
Organization
Contact information
Practice address
35 JOURNAL SQ, SUITE 601, JERSEY CITY, NJ 07306-4011
(201) 420-7116
Mailing address
35 JOURNAL SQ, SUITE 601, JERSEY CITY, NJ 07306-4011
(201) 420-7116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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