Exstrom, Drake
Exstrom, Drake is an sole proprietor health care provider with primary practice located at 1030 La Bonita Dr Ste 322 , San Marcos CA 92078-5291. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Exstrom, Drake can be contacted via phone (760) 744-1919.Contact Information
Primary practice address
1030 La Bonita Dr Ste 322
San Marcos CA 92078-5291
Phone: (760) 744-1919
Fax: (760) 744-4625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 105289 | California |
Profile Details
| NPI number | 1407467129 |
|---|---|
| LBN Legal business name | Exstrom, Drake |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2020 |
| Last updated | Jun 25th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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