| NPI | 1497366561 |
|---|---|
| Doing Business As | DRAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHERINE KHAGHANY DUFFY Owner/ Dentist 269-344-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |