Organization
SOUTH BRONX ORTHODONTICS
Active
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
2825 3RD AVE, SUITE 406 (4TH FLOOR), BRONX, NY 10455-4003
(718) 292-4700
Mailing address
2825 3RD AVE, SUITE 406 (4TH FLOOR), BRONX, NY 10455-4003
(718) 292-4700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047218-1
NY
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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