Individual
DR. STEPHANIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1880 W WAYZATA BLVD, LONG LAKE, MN 55356-9491
(952) 475-0989
Mailing address
1880 W WAYZATA BLVD, LONG LAKE, MN 55356-9491
(952) 475-0989
(218) 326-9502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13701
MN
Other
Enumeration date
05/31/2016
Last updated
02/04/2021
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