Organization
MICHAEL N. DRAKE D.M.D., INC.
Active
Other names
Drake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DRAKE DMD (PRESIDENT)
(310) 451-5348
Entity
Organization
Contact information
Practice address
1243 7TH ST STE A, SANTA MONICA, CA 90401-1658
(310) 451-5348
Mailing address
1243 7TH ST STE A, SANTA MONICA, CA 90401-1658
(310) 451-5348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63505
CA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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