Individual
ETHAN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
759 STOUFFER AVE, CHAMBERSBURG, PA 17201-2859
(717) 658-4326
Mailing address
759 STOUFFER AVE, CHAMBERSBURG, PA 17201-2859
(717) 658-4326
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS037559
PA
Other
Enumeration date
08/21/2009
Last updated
11/15/2012
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