Individual
DR. GARY EDWARD DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1108 S 74TH ST, BELLEVILLE, IL 62223-3535
(618) 397-2377
(618) 397-2383
Mailing address
1108 S 74TH ST, BELLEVILLE, IL 62223-3535
(618) 397-2377
(618) 397-2383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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