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1215773924
DRAKE CHILDRESS
LAGRANGE, GA
NPI
1215773924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN123435)
Enumeration Date
2024-07-02
Last Update Date
2024-08-21
Business Address
Dr. DRAKE CHILDRESS DMD
114 CALUMET CENTER RD
LAGRANGE, GA 30241-6703
Phone number: 706-882-1888
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Mailing Address
Dr. DRAKE CHILDRESS DMD
114 CALUMET CENTER RD
LAGRANGE, GA 30241-6703
Phone number: 706-882-1888
Copy
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