Individual
SHANE DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 N TREKELL RD STE 9, CASA GRANDE, AZ 85122-1705
(520) 374-2400
(520) 836-7469
Mailing address
1821 N TREKELL RD STE 9, CASA GRANDE, AZ 85122-1705
(520) 374-2400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60477540
WA
1223G0001X
General Practice Dentistry
Primary
D011462
AZ
Other
Enumeration date
06/26/2014
Last updated
01/14/2025
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