DR. Stephanie Drake, D.D.S.

NPI #1992153928 in Long Lake, Minnesota

Provider Information

NPI Number: 1992153928
Entity Type: Individual
Name: DR. Stephanie Drake, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 31, 2016
Last Updated: Feb 4, 2021

Practice Location

Address: 1880 W WAYZATA BLVD
City: Long Lake
State: Minnesota
ZIP Code: 55356-9491
Phone: (952) 475-0989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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