Individual
DR. PARKER ALAN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2353 SE 14TH ST, DES MOINES, IA 50320-1109
(515) 248-1470
(515) 248-1474
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10032
IA
1223G0001X
General Practice Dentistry
DEN.00204499
CO
Other
Enumeration date
09/09/2020
Last updated
08/03/2022
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