| NPI | 1679079891 |
|---|---|
| Doing Business As | DRAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DRAKE President 310-451-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 63505) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |