Individual
DALE C. DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6265 HIGHWAY 9, FELTON, CA 95018-3909
(831) 239-9913
(888) 424-0191
Mailing address
6265 HIGHWAY 9, FELTON, CA 95018-3909
(831) 239-9913
(888) 424-0191
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
G37540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G375400
—
CA
Enumeration date
11/02/2006
Last updated
10/03/2014
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