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1407467129
DRAKE EXSTROM
SAN MARCOS, CA
NPI
1407467129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 105289)
Enumeration Date
2020-08-14
Last Update Date
2024-06-25
Business Address
Dr. DRAKE EXSTROM DDS
1030 LA BONITA DR STE 322
SAN MARCOS, CA 92078-5291
Phone number: 760-744-1919
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Mailing Address
Dr. DRAKE EXSTROM DDS
1030 LA BONITA DR STE 322
SAN MARCOS, CA 92078-5291
Phone number: 760-744-1919
Copy
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