Provider Demographics
NPI:1578837837
Name:DAVIS, DRAAK KARRAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:DRAAK
Middle Name:KARRAS
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 E INTERSTATE 30
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4899
Mailing Address - Country:US
Mailing Address - Phone:707-372-6928
Mailing Address - Fax:
Practice Address - Street 1:1039 E INTERSTATE 30
Practice Address - Street 2:SUITE 107
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4899
Practice Address - Country:US
Practice Address - Phone:707-372-6928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32633122300000X
CA60565122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist