Individual
DR. MATTHEW BENJAMIN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 KENDRA DR, MOORESVILLE, NC 28117-5816
(704) 660-3540
Mailing address
116 RUNNINGDEER DR, MOORESVILLE, NC 28117-8160
(304) 553-3778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11815
NC
Other
Enumeration date
06/11/2020
Last updated
08/06/2024
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