# KATRINA J DREW, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013567080
- **Authorized official:** DR. KATRINA J DREW DDS (PRESIDENT)
- **Authorized official phone:** (541) 686-2446

## Contact information

- **Practice address:** 748 GOODPASTURE ISLAND ROAD, EUGENE, OR 97401
- **Practice address phone:** (541) 686-2446
- **Practice address fax:** (541) 686-3055
- **Mailing address:** 748 GOODPASTURE ISLAND ROAD, EUGENE, OR 97401
- **Mailing address phone:** (541) 686-2446
- **Mailing address fax:** (541) 686-3055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2019
- **Last updated:** 09/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 150577 | — | OR |