Individual
DR. DRAKE EXSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1030 LA BONITA DR STE 322, SAN MARCOS, CA 92078-5291
(760) 744-1919
(760) 744-4625
Mailing address
1030 LA BONITA DR STE 322, SAN MARCOS, CA 92078-5291
(760) 744-1919
(760) 744-4625
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
105289
CA
Other
Enumeration date
08/14/2020
Last updated
06/25/2024
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