# ABBEY DENTAL DRAKE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abbey Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174042139
- **Authorized official:** SUSAN RODRIGUEZ (ACCOUNTS)
- **Authorized official phone:** (702) 731-5700

## Contact information

- **Practice address:** 4408 S EASTERN AVE, LAS VEGAS, NV 89119-7825
- **Practice address phone:** (702) 731-5700
- **Practice address fax:** (702) 731-0803
- **Mailing address:** 4408 S EASTERN AVE, LAS VEGAS, NV 89119-7825
- **Mailing address phone:** (702) 731-5700
- **Mailing address fax:** (702) 731-0803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2788 | NV | Yes |

## Other

- **Enumeration date:** 09/11/2017
- **Last updated:** 07/21/2022