| Diamond Braces Dover | |
|
66 E Mcfarlan St 3rd Floor Dover NJ 07801-3533 | |
| (973) 366-2244 | |
| (718) 373-6799 |
| Full Name | Diamond Braces Dover |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 66 E Mcfarlan St, Dover, New Jersey |
| Authorized Official Name and Position | Oleg Drut (DOCTOR) |
| Authorized Official Contact | 9733662244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Braces Dover 15 Engle St Suite #303 Englewood NJ 07631-2936 Ph: (201) 308-8181 | Diamond Braces Dover 66 E Mcfarlan St 3rd Floor Dover NJ 07801-3533 Ph: (973) 366-2244 |
| NPI Number | 1386055333 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386055333 | NPI | - | NPPES |
| 8072701 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI2070700 (New Jersey) | Primary |
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