Individual
DR. SANDRA KAY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
145 W SPRING ST, WOODSTOCK, VA 22664-1240
(540) 459-2512
(540) 459-7269
Mailing address
145 W SPRING ST, WOODSTOCK, VA 22664-1240
(540) 459-2512
(540) 459-7269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410683
VA
1223G0001X
General Practice Dentistry
3512
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289017
BLUE CROSS/BLUE SHIELD
VA
Enumeration date
09/22/2006
Last updated
07/08/2007
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