Organization
JONATHAN M DREW DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MICHAEL DREW DDS (OWNER)
(408) 314-9870
Entity
Organization
Contact information
Practice address
120 9TH ST, LAKEPORT, CA 95453-4320
(707) 263-5390
Mailing address
120 9TH ST, LAKEPORT, CA 95453-4320
(707) 263-5390
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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