Individual
DR. BRIAN C DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
625 EAST 500 SOUTH, SUITE 101, BOUNTIFUL, UT 84010
(801) 292-4111
(801) 296-8030
Mailing address
625 EAST 500 SOUTH, SUITE 101, BOUNTIFUL, UT 84010
(801) 292-4111
(801) 296-8030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1406359921
UT
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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