Diamond Braces Wayne

NPI 1174934251 - Dentist - 1223X0400X

NPI Details
NPI 1174934251
Enumeration Date 05/12/2014
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name OLEG OLEG
Position DOCTOR
Phone (973) 200-8380
Fax (973) 200-8385
Practice Location
401 HAMBURG TPKE
SUITE 210
WAYNE NJ, 07470-2154, US
Phone (973) 200-8380
Fax (973) 200-8385
Business Location
15 ENGLE ST
SUITE #303
ENGLEWOOD NJ, 07631-2936, US
Phone (201) 308-8181
Fax (718) 373-6799
Toxanomy
Taxonomy Code 1223X0400X
License State New Jersey
License Number 22DI2070700
Remove 1174934251 NPI Number
 

According to our database, Diamond Braces Wayne NPI is 1174934251, taxonomy code is 1223X0400X and license number is 22DI2070700, license state is located at New Jersey. Diamond Braces Wayne physically located at 401 Hamburg Tpke, Wayne NJ, 07470-2154. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174934251 NPI number is provided on an as is basis without warranty of any kind. 1174934251 is maintained by the National Plan & Provider Enumeration System. The contents of Diamond Braces Wayne are for informational purposes only.