| NPI | 1588810410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Dds 201-662-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI20707) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |