Organization
ADVANCED DENTISTRY OF ROCKLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY OVRUTSKY D.D.S. (OWNER)
(845) 735-7770
Entity
Organization
Contact information
Practice address
5 N WILLIAM ST, PEARL RIVER, NY 10965-2316
(845) 735-7770
Mailing address
5 N WILLIAM ST, PEARL RIVER, NY 10965-2316
(845) 735-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050128
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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