TIMOTHY MAURICE DRAKE

MITCHELL, SD
NPI1730300344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: SD  M-581)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
DR. TIMOTHY MAURICE DRAKE DDS
103 WEST 12TH AVENUE
MITCHELL, SD 57301-1311
Phone number: 605-996-9235
Mailing Address
DR. TIMOTHY MAURICE DRAKE DDS
103 WEST 12TH AVENUE
MITCHELL, SD 57301-1311
Phone number: 605-996-9235