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1730300344
TIMOTHY MAURICE DRAKE
MITCHELL, SD
NPI
1730300344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SD M-581)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY MAURICE DRAKE DDS
103 WEST 12TH AVENUE
MITCHELL, SD 57301-1311
Phone number: 605-996-9235
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Mailing Address
Dr. TIMOTHY MAURICE DRAKE DDS
103 WEST 12TH AVENUE
MITCHELL, SD 57301-1311
Phone number: 605-996-9235
Copy
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