Individual provider · Type 1 NPI

Olga Bukholts, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · New York, NY

NPI number 1902992258 Active

Practice location

11 Broadway, City Dental Group
New York, NY 10004-1303

Fax (212) 425-2120

Mailing address

20 W 64th St Apt 32E
New York, NY 10023-7138

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X048802 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1902992258

Olga Bukholts, DDS's National Provider Identifier is 1902992258, issued on Oct 5, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.