Organization
SCOTT R DRAKE DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ROSS DRAKE DDS MS (PRESIDENT)
(253) 474-9473
Entity
Organization
Contact information
Practice address
4301 S PINE ST, #231, TACOMA, WA 98409
(253) 474-9473
Mailing address
4301 S PINE ST, #231, TACOMA, WA 98409
(253) 474-9473
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5247
WA
Other
Enumeration date
04/12/2007
Last updated
07/25/2007
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