| NPI | 1558084129 |
|---|---|
| Doing Business As | DIAMOND BRACES |
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Owner 201-308-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |