| NPI | 1407096845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Owner 718-282-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ Di20707) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |