Individual
DR. DREWETT GEORGE MALIDORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6500 SE MILE HILL DR, PORT ORCHARD, WA 98366-8724
(360) 871-0788
Mailing address
6500 SE MILE HILL DR, PORT ORCHARD, WA 98366-8724
(360) 871-0788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7770
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5040076
—
WA
Enumeration date
12/05/2005
Last updated
07/09/2007
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