Individual
ALYSON DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1905 BUSINESS CENTER DR, SAN BERNARDINO, CA 92408-3460
(269) 830-0077
Mailing address
25926 VAN LEUVEN ST, LOMA LINDA, CA 92354-6505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1223G0001X
General Practice Dentistry
Primary
107874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107874
DDS LICENSE
CA
Enumeration date
08/30/2017
Last updated
10/07/2022
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