Individual
DR. DOROTHY DRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
601 LIBERTY PL, SICKLERVILLE, NJ 08081-5700
(856) 740-1110
(856) 740-1105
Mailing address
28 ELSWORTH DR, SICKLERVILLE, NJ 08081-4428
(856) 740-1110
(856) 740-1105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19906
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19906
DENTIST
NJ
Enumeration date
10/17/2006
Last updated
07/08/2007
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