Laurence Earl Drake DDS

NPI 1023018264 - Dentist - 122300000X

NPI Details
NPI 1023018264
Gender Male
Enumeration Date 07/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
410 BIRCHARD AVE
FREMONT OH, 43420-2967, US
Phone (419) 334-8855
Fax (419) 334-8619
Business Location
3564 MEMORIAL SHOREWAY
MARBLEHEAD OH, 43440-2366, US
Phone (419) 798-8027
Fax (719) 798-8027
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 30016054
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According to our database, Dr. Laurence Earl Drake DDS NPI is 1023018264, taxonomy code is 122300000X and license number is 30016054, license state is located at Ohio. Laurence Earl Drake DDS physically located at 410 Birchard Ave, Fremont OH, 43420-2967. NPI Number Laurence Earl Drake DDS has the Individual type.

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1023018264 NPI number is provided on an as is basis without warranty of any kind. 1023018264 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence Earl Drake DDS are for informational purposes only.