# DREW DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952029928
- **Authorized official:** DR. JASON DREW DDS (PRESIDENT)
- **Authorized official phone:** (408) 355-5023

## Contact information

- **Practice address:** 783 RIO DEL MAR BLVD, APTOS, CA 95003-4771
- **Practice address phone:** (408) 688-6060
- **Practice address fax:** (408) 688-4312
- **Mailing address:** 783 RIO DEL MAR BLVD, APTOS, CA 95003-4771
- **Mailing address phone:** (408) 355-5023
- **Mailing address fax:** (408) 688-4312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2022
- **Last updated:** 08/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1235439258 | NPI | — |
| 01 | — | 1578713475 | NPI | — |