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

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X105289 (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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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.