Jonathan M Drew Dds Inc | |
120 9th St Lakeport CA 95453-4320 | |
(707) 263-5390 | |
Not Available |
Full Name | Jonathan M Drew Dds Inc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 120 9th St, Lakeport, California |
Authorized Official Name and Position | Jonathan Michael Drew (OWNER) |
Authorized Official Contact | 4083149870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jonathan M Drew Dds Inc 120 9th St Lakeport CA 95453-4320 Ph: (707) 263-5390 | Jonathan M Drew Dds Inc 120 9th St Lakeport CA 95453-4320 Ph: (707) 263-5390 |
NPI Number | 1336830116 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336830116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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