GARY EDWARD DRAKE

BELLEVILLE, IL
NPI1770694358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019014548)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. GARY EDWARD DRAKE DDs
1108 S 74TH ST
BELLEVILLE, IL 62223-3535
Phone number: 618-397-2377
Mailing Address
Dr. GARY EDWARD DRAKE DDs
1108 S 74TH ST
BELLEVILLE, IL 62223-3535
Phone number: 618-397-2377
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