| NPI | 1174934251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Doctor 973-200-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI2070700) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |