| South Bronx Orthodontics | |
|
2825 3rd Ave Suite 406 (4th Floor) Bronx NY 10455-4003 | |
| (718) 292-4700 | |
| Not Available |
| Full Name | South Bronx Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2825 3rd Ave, Bronx, New York |
| Authorized Official Name and Position | Oleg Drut (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 7183736707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bronx Orthodontics 2825 3rd Ave Suite 406 (4th Floor) Bronx NY 10455-4003 Ph: (718) 292-4700 | South Bronx Orthodontics 2825 3rd Ave Suite 406 (4th Floor) Bronx NY 10455-4003 Ph: (718) 292-4700 |
| NPI Number | 1831444355 |
|---|---|
| Provider Enumeration Date | 07/20/2012 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831444355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 047218-1 (New York) | Primary |
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