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Individual

DR. DALE EVAN BRAITHWAITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17601 DE LONG CIR, HUNTINGTON BEACH, CA 92649-4902
(714) 614-1843
Mailing address
17601 DE LONG CIR, HUNTINGTON BEACH, CA 92649-4902
(714) 614-1843

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G39582
CA

Other

Enumeration date
12/13/2005
Last updated
07/02/2014
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