Organization
DIAMOND BRACES OF NORWALK CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG DRUT D.D.S. (OWNER/PRESIDENT)
(203) 857-1717
Entity
Organization
Contact information
Practice address
148 EAST AVE, SUITE 3H, NORWALK, CT 06851-5721
(203) 857-1717
(718) 373-6799
Mailing address
148 EAST AVE, SUITE 3H, NORWALK, CT 06851-5721
(203) 857-1717
(718) 373-6799
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047218-1
NY
Other
Enumeration date
08/14/2014
Last updated
08/15/2014
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