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Organization
MICHAEL N. DRAKE D.M.D., INC.
Active
Organization
MICHAEL N. DRAKE D.M.D., INC.
Active
Other names
Drake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DRAKE DMD (PRESIDENT)
(310) 451-5348
Entity
Organization
Contact information
Practice address
1243 7TH ST STE A, SANTA MONICA, CA 90401-1658
(310) 451-5348
Mailing address
1243 7TH ST STE A, SANTA MONICA, CA 90401-1658
(310) 451-5348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63505
CA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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