# DALE E IRELAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dale E Ireland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184986531
- **Authorized official:** MRS. SUZANNE R IRELAND I (WIFE/DENTIST)
- **Authorized official phone:** (360) 692-9701

## Contact information

- **Practice address:** 9951 MICKELBERRY RD NW, SUITE 215, SILVERDALE, WA 98383-8309
- **Practice address phone:** (360) 692-9701
- **Mailing address:** 9951 MICKELBERRY RD. N.W., SUITE 215, SILVERDALE, WA 98383
- **Mailing address phone:** (360) 692-9701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012