John B. Dale, ,DMD, MS, P.C.

NPI #1700158227 in Peoria, Illinois

Provider Information

NPI Number
1700158227
Entity Type
Individual
Name
John B. Dale, ,DMD, MS, P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Endodontics
Credential
,DMD, MS, P.C.
Enumeration Date
Jan 30, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
7314 N WILLOW LAKE CT
Address 2
SUITE A
City
Peoria
ZIP Code
61614-8277
Phone
(309) 691-9100

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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