Organization
DREW DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DREW DDS (PRESIDENT)
(408) 355-5023
Entity
Organization
Contact information
Practice address
783 RIO DEL MAR BLVD, APTOS, CA 95003-4771
(408) 688-6060
(408) 688-4312
Mailing address
783 RIO DEL MAR BLVD, APTOS, CA 95003-4771
(408) 355-5023
(408) 688-4312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235439258
NPI
—
01
—
1578713475
NPI
—
Enumeration date
08/16/2022
Last updated
08/16/2022
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