| Richmond Ave Orthodontics, Pllc | |
|
2025 Richmond Ave Staten Island NY 10314-3937 | |
| (718) 477-7711 | |
| Not Available |
| Full Name | Richmond Ave Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2025 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Oleg Drut (OWNER PRESIDENT) |
| Authorized Official Contact | 7184777711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Ave Orthodontics, Pllc 2025 Richmond Ave Staten Island NY 10314-3937 Ph: (718) 477-7711 | Richmond Ave Orthodontics, Pllc 2025 Richmond Ave Staten Island NY 10314-3937 Ph: (718) 477-7711 |
| NPI Number | 1427349489 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427349489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 047348-1 (New York) | Primary |
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