Individual
IRENE DRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-2649
(269) 429-1587
Mailing address
2525 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-2649
(269) 429-1587
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902007768
MI
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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