| Diamond Braces Edison | |
|
34-36 Progress St Suite A4 Edison NJ 08820-1197 | |
| (908) 222-8228 | |
| (718) 373-6799 |
| Full Name | Diamond Braces Edison |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 34-36 Progress St, Edison, New Jersey |
| Authorized Official Name and Position | Oleg Drut (DOCTOR) |
| Authorized Official Contact | 2014207116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Braces Edison 15 Engle St Suite #303 Englewood NJ 07631-2936 Ph: (201) 308-8181 | Diamond Braces Edison 34-36 Progress St Suite A4 Edison NJ 08820-1197 Ph: (908) 222-8228 |
| NPI Number | 1447661491 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447661491 | NPI | - | NPPES |
| 8072701 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI2070700 (New Jersey) | Primary |
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