Individual
DR. DEREK MATTHEW DRAFT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3100 WILSON AVE SW, GRANDVILLE, MI 49418-1200
(616) 534-7138
(616) 534-7174
Mailing address
3100 WILSON AVE SW, GRANDVILLE, MI 49418-1200
(616) 534-7138
(616) 534-7174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017450
MI
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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