| Diamond Braces Of Norwalk Connecticut Llc | |
|
148 East Ave Suite 3h Norwalk CT 06851-5721 | |
| (203) 857-1717 | |
| (718) 373-6799 |
| Full Name | Diamond Braces Of Norwalk Connecticut Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 148 East Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Oleg Drut (OWNER/PRESIDENT) |
| Authorized Official Contact | 2038571717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Braces Of Norwalk Connecticut Llc 148 East Ave Suite 3h Norwalk CT 06851-5721 Ph: (203) 857-1717 | Diamond Braces Of Norwalk Connecticut Llc 148 East Ave Suite 3h Norwalk CT 06851-5721 Ph: (203) 857-1717 |
| NPI Number | 1710386933 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710386933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 047218-1 (New York) | Primary |
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