Organization
LAWRENCE A DRAKE DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE ALLEN DRAKE DDS (PRESIDENT)
(702) 643-7720
Entity
Organization
Contact information
Practice address
3603 LAS VEGAS BLVD N, STE #122, LAS VEGAS, NV 89115-0588
(702) 643-7720
(702) 643-0538
Mailing address
3603 LAS VEGAS BLVD N, STE #122, LAS VEGAS, NV 89115-0588
(702) 643-7720
(702) 643-0538
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2788
NV
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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