| Scott R Drake Dds Ms Pc | |
|
4301 S Pine St #231 Tacoma WA 98409 | |
| (253) 474-9473 | |
| Not Available |
| Full Name | Scott R Drake Dds Ms Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4301 S Pine St, Tacoma, Washington |
| Authorized Official Name and Position | Scott Ross Drake (PRESIDENT) |
| Authorized Official Contact | 2534749473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott R Drake Dds Ms Pc 4301 S Pine St #231 Tacoma WA 98409 Ph: (253) 474-9473 | Scott R Drake Dds Ms Pc 4301 S Pine St #231 Tacoma WA 98409 Ph: (253) 474-9473 |
| NPI Number | 1275757247 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275757247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5247 (Washington) | Primary |
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