Charles Drew, DDS

NPI 1346473550 · on the registry since 2009 · sole proprietor

Practice

Address: 1010 E Main St
Burley, ID 83318
Phone: (208) 678-5597
Organisation at this address: Kevin D. Banner
Dr. Brent S. Banner
Town Square Dental-Burley Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho