NPI | 1447671128 |
---|---|
Doing Business As | DIAMOND BRACES |
Entity Type | Organization |
Authorized Contact | OLEG DRUT Owner/Orthodontist 718-373-6707 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 047218) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2013-12-23 |