Organization
ORTHODONTIC,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A DRAKE DDSMSD (OWNER)
(605) 335-6665
Entity
Organization
Contact information
Practice address
600 W 37TH ST, SIOUX FALLS, SD 57105-5601
(605) 335-6665
(605) 332-5510
Mailing address
600 W 37TH ST, SIOUX FALLS, SD 57105-5601
(605) 335-6665
(605) 332-5510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
M406
SD
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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