Individual
THOMAS A DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
140 N 130TH ST, SUITE B, BONNER SPRINGS, KS 66012-9142
(913) 721-1300
(913) 721-1430
Mailing address
140 N 130TH ST, SUITE B, BONNER SPRINGS, KS 66012-9142
(913) 721-1300
(913) 721-1430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8835
KS
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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