| NPI | 1447671128 |
|---|---|
| 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 |