| NPI | 1023537883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA EDWARD DRAIS Dentist, Corporation President 831-655-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56394) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 60808) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |