David B Drake DDS

NPI 1639333792 - Dentist - 1223G0001X

NPI Details
NPI 1639333792
Gender Male
Enumeration Date 07/17/2008
Last Updated 07/17/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
739 W BELMONT AVE
CHICAGO IL, 60657-5768, US
Phone (773) 248-8813
Fax
Business Location
739 W BELMONT AVE
CHICAGO IL, 60657-5768, US
Phone (773) 248-8813
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019.020768
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According to our database, Dr. David B Drake DDS NPI is 1639333792, taxonomy code is 1223G0001X and license number is 019.020768, license state is located at Illinois. David B Drake DDS physically located at 739 W Belmont Ave, Chicago IL, 60657-5768. NPI Number David B Drake DDS has the Individual type.

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1639333792 NPI number is provided on an as is basis without warranty of any kind. 1639333792 is maintained by the National Plan & Provider Enumeration System. The contents of David B Drake DDS are for informational purposes only.