Individual
EMILY DRIESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
01/26/2015
Last updated
12/19/2016
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