Individual
DAVID GEORGE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2420 OWEN RD, FENTON, MI 48430-3417
(810) 629-0470
Mailing address
2420 OWEN RD, FENTON, MI 48430-3417
(810) 629-0470
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10119
MI
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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