Provider Demographics
NPI:1023537883
Name:DRAIS AND CHOW DENTAL CORPORATION
Entity Type:Organization
Organization Name:DRAIS AND CHOW DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, CORPORATION PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DRAIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-655-2222
Mailing Address - Street 1:21 UPPER RAGSDALE SUITE 160
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-655-2222
Mailing Address - Fax:
Practice Address - Street 1:21 UPPER RAGSDALE SUITE 160
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-655-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563941223G0001X
CA608081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty