NPI | 1124514526 |
---|---|
Doing Business As | DRAKE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | THOMAS DRAKE Dentist 913-721-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-07-09 |