| NPI | 1730482076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Owner 973-471-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 047218) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |