Individual
MICHAEL DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 104, LITTLE ROCK, AR 72205-6323
(501) 224-0144
Mailing address
9601 BAPTIST HEALTH DR STE 104, LITTLE ROCK, AR 72205-6323
(501) 224-0144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4433
AR
Other
Enumeration date
06/29/2020
Last updated
07/13/2020
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