| NPI | 1043565575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Owner/Orthodontist 201-400-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: 047218-1) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |