Individual
DR. JONATHAN MICHAEL DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
120 9TH ST, LAKEPORT, CA 95453-4320
(707) 263-5390
Mailing address
3240 FINCH DR, SAN JOSE, CA 95117-3512
(408) 314-9870
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102563
CA
Other
Enumeration date
09/14/2018
Last updated
11/19/2022
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