Individual
MR. DUSTIN MICHAEL DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10537 MOORPARK ST, SPRING VALLEY, CA 91978-1512
(619) 961-7860
Mailing address
10537 MOORPARK ST, SPRING VALLEY, CA 91978-1512
(619) 961-7860
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
03/19/2013
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