Individual
DR. DALE EUGENE BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3949 EAST 71ST ST, CLEVELAND, OH 44105-7312
(216) 883-4800
Mailing address
3949 EAST 71ST ST, CLEVELAND, OH 44105-7312
(216) 883-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30011961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118152
—
OH
Enumeration date
11/06/2006
Last updated
07/08/2007
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