| Driesman Orthodontics | |
|
24 Imperial Ave Westport CT 06880-4301 | |
| (203) 227-6061 | |
| Not Available |
| Full Name | Driesman Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 24 Imperial Ave, Westport, Connecticut |
| Authorized Official Name and Position | Danielle Casarella (CONSULTANT) |
| Authorized Official Contact | 8602761586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driesman Orthodontics 24 Imperial Ave Westport CT 06880-4301 Ph: (203) 227-6061 | Driesman Orthodontics 24 Imperial Ave Westport CT 06880-4301 Ph: (203) 227-6061 |
| NPI Number | 1336699396 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336699396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 010875 (Connecticut) | Primary |
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