Individual
DR. CHARLES BUCHANAN DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 E MAIN ST, BURLEY, ID 83318-2045
(208) 678-5597
Mailing address
PO BOX 899, 2100 B WARM SPRINGS ROAD, KETCHUM, ID 83340-0899
(208) 726-7897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D- 1701
ID
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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