| Bergenline Orthodontics, Llc | |
|
5918 Bergenline Ave Suite 201 B West New York NJ 07093-1392 | |
| (201) 662-0662 | |
| Not Available |
| Full Name | Bergenline Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5918 Bergenline Ave, West New York, New Jersey |
| Authorized Official Name and Position | Oleg Drut (DDS) |
| Authorized Official Contact | 2016620662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergenline Orthodontics, Llc 5918 Bergenline Ave Suite 201 B West New York NJ 07093-1392 Ph: (201) 662-0662 | Bergenline Orthodontics, Llc 5918 Bergenline Ave Suite 201 B West New York NJ 07093-1392 Ph: (201) 662-0662 |
| NPI Number | 1588810410 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588810410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DI20707 (New Jersey) | Primary |
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