| Diamond Braces Of Hackensack | |
|
17 Summit Ave Hackensack NJ 07601-1218 | |
| (201) 996-0770 | |
| (201) 875-5588 |
| Full Name | Diamond Braces Of Hackensack |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 17 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Oleg Drut (OWNER) |
| Authorized Official Contact | 2013088181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Braces Of Hackensack 15 Engle St Suite 303 Englewood NJ 07631-2936 Ph: (201) 996-0770 | Diamond Braces Of Hackensack 17 Summit Ave Hackensack NJ 07601-1218 Ph: (201) 996-0770 |
| NPI Number | 1568902807 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568902807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 02070700 (New Jersey) | Primary |
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