Organization
DRIESMAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE CASARELLA (CONSULTANT)
(860) 276-1586
Entity
Organization
Contact information
Practice address
24 IMPERIAL AVE, WESTPORT, CT 06880-4301
(203) 227-6061
Mailing address
24 IMPERIAL AVE, WESTPORT, CT 06880-4301
(203) 227-6061
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010875
CT
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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