Diamond Braces Of Norwalk | |
15 Engle St Suite 303 Englewood NJ 07631-2936 | |
(201) 308-8181 | |
Not Available |
Full Name | Diamond Braces Of Norwalk |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 15 Engle St, Englewood, 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 |
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Diamond Braces Of Norwalk 380 Sunrise Mall Massapequa NY 11758-4325 Ph: (201) 308-8181 | Diamond Braces Of Norwalk 15 Engle St Suite 303 Englewood NJ 07631-2936 Ph: (201) 308-8181 |
NPI Number | 1609253582 |
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Provider Enumeration Date | 04/30/2015 |
Last Update Date | 04/30/2015 |
Identifier | Type | State | Issuer |
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1609253582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 047218-1 (New Jersey) | Primary |
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