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Erin A. Rake, DDS

Dentist in Mooresville, IN. Organization (NPI-2).

NPI number1508239682
StatusActive
Last updated in NPPESNov 12, 2015

Details

NPI
1508239682
Entity type
Organization (NPI-2)
Legal business name
Erin A. Rake, DDS
Organization subpart
No
Enumeration date
Nov 11, 2015
Last updated
Nov 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist12011508AINYes

Practice location

150 N Indiana St
Mooresville, IN 46158-1506

Phone 317-831-4240

Mailing address

150 N Indiana St
Mooresville, IN 46158-1506

Authorized official

Erin Rake
Owner
3174007681

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