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Individual

DR. DALE EDWIN BRANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
18700 MAIN ST, SUITE 203, HUNTINGTON BEACH, CA 92648-1714
(714) 375-7222
(714) 375-9612
Mailing address
18700 MAIN ST, SUITE 203, HUNTINGTON BEACH, CA 92648-1714
(714) 375-7222
(714) 375-9612

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D19330
CA

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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