DR. Gregory W Dale, DDS

NPI #1063639425 in Gladstone, Missouri

Provider Information

NPI Number: 1063639425
Entity Type: Individual
Name: DR. Gregory W Dale, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2109 NE 72ND ST
City: Gladstone
State: Missouri
ZIP Code: 64118-2304
Phone: (816) 452-3420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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