| Church Ave Orthodontics, Llc | |
|
2848 Church Ave 2nd Floor Brooklyn NY 11226-4106 | |
| (718) 282-8222 | |
| (718) 282-8244 |
| Full Name | Church Ave Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2848 Church Ave, Brooklyn, New York |
| Authorized Official Name and Position | Oleg Drut (OWNER) |
| Authorized Official Contact | 7182828222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Church Ave Orthodontics, Llc 2848 Church Ave 2nd Floor Brooklyn NY 11226-4106 Ph: (718) 282-8222 | Church Ave Orthodontics, Llc 2848 Church Ave 2nd Floor Brooklyn NY 11226-4106 Ph: (718) 282-8222 |
| NPI Number | 1407096845 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407096845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DI20707 (New Jersey) | Primary |
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