DR. Jonathan R Draper, D.M.D
NPI #1447497524 in San Clemente, California
Provider Information
- NPI Number
- 1447497524
- Entity Type
- Individual
- Name
- DR. Jonathan R Draper, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Jan 12, 2009
- Last Updated
- Jan 12, 2009
Practice Location
- Address
- 629 CAMINO DE LOS MARES
- Address 2
- SUITE 102
- City
- San Clemente
- State
- California
- ZIP Code
- 92673-2834
- Phone
- (949) 248-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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