Individual provider · Type 1 NPI
Drake Exstrom, DDS
Oral and Maxillofacial Surgery (Dentist) · San Marcos, CA
NPI number
1407467129
Active
Practice location
1030 La Bonita Dr Ste 322
San Marcos, CA 92078-5291
Fax (760) 744-4625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 105289 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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- Richard Foote, DMD, MDOral and Maxillofacial Surgery (Dentist) San Marcos, CA NPI 1841751252
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About NPI 1407467129
Drake Exstrom, DDS's National Provider Identifier is 1407467129, issued on Aug 14, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Marcos, CA. The record was last updated on Jun 25, 2024.