Ethan Drake D.M.D.

NPI 1205068368 - Dentist - 1223X0400X

NPI Details
NPI 1205068368
Gender Male
Enumeration Date 08/21/2009
Last Updated 11/15/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
759 STOUFFER AVE
CHAMBERSBURG PA, 17201-2859, US
Phone (717) 658-4326
Fax
Business Location
759 STOUFFER AVE
CHAMBERSBURG PA, 17201-2859, US
Phone (717) 658-4326
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Pennsylvania
License Number DS037559
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According to our database, Ethan Drake D.M.D. NPI is 1205068368, taxonomy code is 1223X0400X and license number is DS037559, license state is located at Pennsylvania. Ethan Drake D.M.D. physically located at 759 Stouffer Ave, Chambersburg PA, 17201-2859. NPI Number Ethan Drake D.M.D. has the Individual type.

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1205068368 NPI number is provided on an as is basis without warranty of any kind. 1205068368 is maintained by the National Plan & Provider Enumeration System. The contents of Ethan Drake D.M.D. are for informational purposes only.