Organization
JOSH DRAKE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSH DRAKE DMD (OWNER)
(256) 350-5810
Entity
Organization
Contact information
Practice address
1306 14TH AVE SE, DECATUR, AL 35601-4346
(256) 350-5810
Mailing address
1306 14TH AVE SE, DECATUR, AL 35601-4346
(256) 350-5810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5470
AL
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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