Individual
WILLIAM L DRAKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
258 MAIN ST, BROOKNEAL, VA 24528
(434) 376-2460
Mailing address
PO BOX 610, 258 MAIN ST, BROOKNEAL, VA 24528-0610
(434) 376-2460
(434) 376-2644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5958
VA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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