DR. Carl Thomas Drake, D.D.S., M.S.

NPI #1124227228 in Normal, Illinois

Provider Information

NPI Number
1124227228
Entity Type
Individual
Name
DR. Carl Thomas Drake, D.D.S., M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S., M.S.
Enumeration Date
Jul 17, 2007
Last Updated
May 27, 2011

Practice Location

Address
310 SUSAN DR
Address 2
STE 1
City
Normal
ZIP Code
61761-6206
Phone
(309) 808-0054

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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