Individual
DR. DANIEL RAYMOND DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1089 W GRANADA BLVD, SUITE 1, ORMOND BEACH, FL 32174-8116
(386) 673-1611
(386) 672-3543
Mailing address
1089 W GRANADA BLVD, SUITE 1, ORMOND BEACH, FL 32174-8116
(386) 673-1611
(386) 672-3543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18257
FL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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