| NPI | 1710386933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Owner/President 203-857-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 047218-1) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-15 |