Individual
DALE ADDISON DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST DDS
Contact information
Practice address
515 PEARL STREET, BELVIDERE, IL 61008
(815) 547-8112
(815) 544-5480
Mailing address
515 PEARL ST, BELVIDERE, IL 61008
(815) 547-8112
(815) 544-5480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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