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Individual

DR. JONATHAN MICHAEL DREWETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-5775
(314) 251-5776
Mailing address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-5775
(314) 251-5776

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018018265
MO

Other

Enumeration date
06/06/2018
Last updated
06/06/2018
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