Individual
DR. JEREMY A. DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2365 E GALA ST, SUITE #1, MERIDIAN, ID 83642-4881
(208) 288-1963
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
03692
NH
1223G0001X
General Practice Dentistry
60444
KS
1223G0001X
General Practice Dentistry
Primary
D-4520
ID
1223G0001X
General Practice Dentistry
DE 60231370
WA
Other
Enumeration date
10/31/2006
Last updated
07/02/2015
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