| Nassau County Orthodontics | |
|
380 Sunrise Mall Massapequa NY 11758-4325 | |
| (516) 797-7799 | |
| Not Available |
| Full Name | Nassau County Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 380 Sunrise Mall, Massapequa, New York |
| 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 |
|---|---|
| Nassau County Orthodontics 15 Engle St Suite 303 Englewood NJ 07631-2936 Ph: (201) 308-8181 | Nassau County Orthodontics 380 Sunrise Mall Massapequa NY 11758-4325 Ph: (516) 797-7799 |
| NPI Number | 1386021129 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386021129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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